WILLIAM JEFFREY BROOME (NPI# 1588924526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588924526 |
| Entity Type | Individual |
| Full Name | WILLIAM JEFFREY BROOME |
| Credential | M.D. |
| Practice Address |
145 E Poinsett St Greer SC 29651-3405 |
| Mailing Address |
525 Verdae Blvd Ste 200 Greenville SC 29607-4021 |
| Practice Telephone | 8642720388 |
| Practice Fax Number | 8642139237 |
| Mailing Telephone | 8642720388 |
| Mailing Fax Number | 8642139237 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2019-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 1563 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 525 Verdae Blvd, Suite 200, Greenville, SC 296074021 | 8642720388 | 8642139237 |
| 312 Harrison Bridge Rd, Simpsonville, SC 296807133 | 8642720388 | 8642139237 |
| 211 Batesville Rd, Simpsonville, SC 296814816 | 8642720388 | 8642139237 |
| 3020 Reidville Rd Ste B, Spartanburg, SC 293015641 | 8642720388 | 8642139237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326540022 | William Tyler Broome | Occupational Therapy Assistant | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2018-03-08 |
| 1962837385 | William Lonas Broome | Hearing Instrument Specialist | 1578 Bella Cruz Dr, The Villages, FL 32159-8969 | 2013-09-04 |
| 1679671515 | William Smith Broome | Family Medicine | 4410 Valley View Dr, Knoxville, TN 37917-1304 | 2006-09-21 |
| 1710903711 | William Carroll Broome | Dentist | 201 Charlois Blvd, Winston Salem, NC 27103-1507 | 2006-07-14 |
| Street Address |
145 E POINSETT ST |
| City | GREER |
| State | SC |
| Zip Code | 29651-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538564422 | Charise Ebersole | Nurse Practitioner | 145 E Poinsett St, Greer, SC 29651 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619499035 | Jerry Webb Hudspeth II | Pharmacist | 221 Marnie Ln, Greer, SC 29651 | 2017-07-07 |
| 1073863395 | Sarah Delello Black | Pharmacist | 590 East Howell Rd, Greer, SC 29651 | 2012-09-13 |
| 1538418645 | Ernest Earl Clayton | Pharmacist | 1325 West Wade Hampton Blvd, Greer, SC 29651 | 2012-09-05 |
| 1235451352 | Mountainview Dentistry | Dentist | 119 Village Drive, Greer, SC 29651 | 2010-02-16 |
| 1548457849 | Assisted Living Concepts Inc | Assisted Living Facility | 10 Companion Court, Greer, SC 29651 | 2007-10-01 |
| 1689866642 | Anthony L Mathis Dpm LLC | Podiatrist | 127 Mills Ave., Greer, SC 29651 | 2007-08-14 |
| 1275740193 | Pamela B Dhillon | Dentist | 3115 A Brushy Creek Road, Greer, SC 29651 | 2007-05-17 |
| 1689715153 | Clara Richards | Occupational Therapy Assistant | 285 Genoble Rd, Greer, SC 29651 | 2007-02-09 |
| 1063566263 | Greer Group Practice, LLC | Orthopaedic Surgery | 501-b Memorial Extension Drive, Greer, SC 29651 | 2007-01-23 |
| 1730253824 | Tammy Rollins Mason | Social Worker | 104 Memorial Drive, Greer, SC 29651 | 2006-11-20 |
| Find all providers in zip 29651 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083077184 | Bradley Sieckman | Pediatrics | 106 Physicans Drive, Greer, SC 29650-1521 | 2016-04-05 |
| 1467605774 | James Harold Sightler | Pediatrics | 175 Joe Leonard Road, Greer, SC 29651-9056 | 2008-10-30 |
| 1538172960 | Mark A Demoss | Pediatrics | 501c Memorial Dr Ext, Greer, SC 29651 | 2006-08-15 |
| 1285694596 | James Raff | Pediatrics | 319 S Buncombe Rd, Greer, SC 29650-1207 | 2006-03-23 |
| 1538130331 | Jeffrey Neal Faust | Pediatrics | 318 Memorial Dr, Greer, SC 29650-1521 | 2006-01-30 |
| 1245227438 | Hajar Raissi-fard | Pediatrics | 111 Memorial Dr, Pediatric Center, Greer, SC 29650-1518 | 2005-10-03 |
| 1508253204 | Melody Miller | Pediatrics | 318 Memorial Dr, Greer, SC 29650 | 2015-04-20 |
| 1952515603 | Susan Catherine Shelley | Pediatrics | 318 Memorial Dr, Greer, SC 29650-1521 | 2007-05-10 |
| 1558415844 | The Pediatric Center | Pediatrics | 111 Memorial Dr, Greer, SC 29650-1518 | 2007-01-23 |
| 1184735409 | Michelle Rene Viglianco-vanpelt | Pediatrics | 325 Medical Pkwy, Suite 150, Greer, SC 29650-2457 | 2006-08-31 |
| Find all providers in GREER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.