Michael J Broom M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0052975 Issued in FL

Legal business name

MICHAEL J BROOM M.D., P.A.

Practice address

1405 S Orange Ave
Second Floor
Orlando, FL 32806-2154

Phone

(407) 481-2244

Fax

(407) 481-8160

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Chris Byrnes

Title

Addmin

Phone

(407) 481-2244

Specialties & licenses 1

Addresses

Other names 1

• FLORIDA SPINECARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Broom, M.D.

  • Specialist
  • Orlando, FL
  • NPI 1750458253
  Medicare reassignment Care Compare group NPD
• Robert James Rice, P.A.- C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1821211079
  Medicare reassignment Care Compare group
• Robert Wesley Rowland, P.A.-C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1124241385
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1881874154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568008",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328568008",
            "telephone_number": "407-481-2244",
            "fax_number": "407-481-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S ORANGE AVE",
            "address_2": "SECOND FLOOR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062154",
            "telephone_number": "407-481-2244",
            "fax_number": "407-481-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J BROOM M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "ADDMIN",
        "authorized_official_telephone_number": "407-481-2244"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0052975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA SPINECARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Akpeke, M.D. PL
• Michael Arthur Acupuncture, LLC
• Michael D Young, PLLC
• Michael E Smith DPM PA
• Michael Gooch DMD, PLLC
• Michael J Stroup, MD PA
• Michael J Tortorella MD PA
• Michael J. Vallillo, DDS, PA
• Michael K Dapaah MD PA
• Michael P. Dimauro D.D.S., P.a.

• Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.