Dr. Barry Julian Broomberg M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C41796 Issued in CA

Legal business name

DR. BARRY JULIAN BROOMBERG M.D.

Practice address

6515 La Jolla Blvd
La Jolla, CA 92037-6066

Phone

(858) 454-7157

Fax

(858) 454-6460

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Barry Julian Broomberg, C41796

Title

President

Phone

(858) 454-7157

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1881874824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 LA JOLLA BLVD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376066",
            "telephone_number": "858-454-7157",
            "fax_number": "858-454-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 LA JOLLA BLVD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376066",
            "telephone_number": "858-454-7157",
            "fax_number": "858-454-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BARRY JULIAN BROOMBERG M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "BROOMBERG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-454-7157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "C41796"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C41796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Douglas, MD
• Elaine Joyce Dove, PYS.D.
• Kristopher Lee Downing, MD
• Nancy Swerdlow Downs, M.D.
• Stephen Eric Doyne, PHD
• Dr. Maria Hiraldo Psychological Services, Apc
• Thao T. Drcar, N.P.
• Tamela S Dreyer, LCSW
• Amy Marie Whistler Driebe, M.D.
• Sharon Anne Druzynski, BPHARM

• Family Medicine Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.