Individual
DR. JOHN E. BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 820-5227
Mailing address
455 SAINT MICHAELS DR, MEDICAL STAFF OFFICE, SANTA FE, NM 87505-7601
(505) 820-5227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A48242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A482420
—
CA
01
—
1103063
UHC
—
05
—
93153775
—
NM
01
—
NM002A14
BCBS NM
NM
01
—
QMP000003384301
MOLINA
—
Enumeration date
08/04/2006
Last updated
01/21/2008
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