Roberta Jo Broman, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH903830 Issued in CO

Practice address

1215 N 15TH St
Canon City, CO 81212-4620

Phone

(719) 269-7194

NPI assigned

Jan 18, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Bobbie Broman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1801072905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 N 5TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "81212",
            "telephone_number": "719-671-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N 15TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124620",
            "telephone_number": "719-269-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMAN",
        "first_name": "ROBERTA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH903830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBIE",
            "last_name": "BROMAN",
            "credential": "RDH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janine Marie Bradley, RDH
• Gina Brekke
• Judith Anne Bridgeman, LCSW
• Bright Eyes Vision Clinic PC a Colorado Professional Corporation
• Tanja Britton
• Shelly Brooks, RN
• Timothy Roland Brown, M.D.
• Christopher J Buchanan, MD
• Tristin Buchanan
• Dale Chris Buckhaults, DC

• Dental Hygienist in Canon City, CO
• Providers in Canon City, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.