Individual
DR. JOHN W TEN BROEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 MAIN ST, HYANNIS, MA 02601-3129
(508) 778-1829
(508) 778-0113
Mailing address
25 MAIN ST, HYANNIS, MA 02601-3129
(508) 778-1829
(508) 778-0113
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34466
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030691
BOSTON MEDICAL CENTER
MA
01
—
060058508
MEDICARE ID
MA
01
—
1019191-001
CIGNA
MA
01
—
11090818
CAQH
—
01
—
1295833523
UNICARE
MA
05
—
2060817
—
MA
01
—
2272797
AETNA
MA
01
—
25-00637
UNITED HEALTH
MA
01
—
3199
HARVARD PILGRIM
MA
01
—
709254
TUFTS
MA
01
—
E16121
BLUE CROSS BLUE SHIELD
MA
01
—
S017060
TRICARE
MA
Enumeration date
09/20/2006
Last updated
03/18/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us