DR. CHARLENE BELL BROOME (NPI# 1720007040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720007040 |
Entity Type | Individual |
Full Name | DR. CHARLENE BELL BROOME |
Credential | M.D. |
Practice Address |
6414 U S Highway 98 Ste 80 Hattiesburg MS 39402-7815 |
Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
Practice Telephone | 6012611800 |
Practice Fax Number | 6012611801 |
Mailing Telephone | 6012611800 |
Mailing Fax Number | 6015795240 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2020-08-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | 12482 | MS | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 12482 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 0119222 | 05 |
Street Address |
6414 U S HIGHWAY 98 STE 80 |
City | HATTIESBURG |
State | MS |
Zip Code | 39402-7815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518418987 | Hattiesburg Clinic Pa | Allergy & Immunology | 6414 U S Highway 98, Ste 80, Hattiesburg, MS 39402-7815 | 2016-10-20 |
1073661419 | Lori H. Bartran | Nurse Practitioner | 6414 U S Highway 98, Hattiesburg, MS 39402-7815 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
Find all providers in zip 39402 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780948216 | Blake Olmsted | Allergy & Immunology | 6414 U S Highway 98 Ste 80, Hattiesburg, MS 39402-7838 | 2012-06-29 |
1518418987 | Hattiesburg Clinic Pa | Allergy & Immunology | 6414 U S Highway 98, Ste 80, Hattiesburg, MS 39402-7815 | 2016-10-20 |
1518164490 | Kathryn Lindsey Mcmullan | Allergy & Immunology | 109 Millsaps Dr Ste C, Hattiesburg, MS 39402 | 2007-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689803918 | Patricia Honea Stewart | Allergy & Immunology | 878 Lakeland Dr., Lb-building, Jackson, MS 39216-4500 | 2009-07-08 |
1801094016 | Mississippi Asthma and Allergy Clinic Pa | Allergy & Immunology | 680d Hwy 51 North, Ridgeland, MS 39157 | 2007-07-10 |
1154529709 | Chelle P Wilhelm | Allergy & Immunology | 1513 Lakeland Dr Ste 101, Jackson, MS 39216-4829 | 2007-07-05 |
1841491404 | Delta Asthma & Allergy | Allergy & Immunology | 2335 Highway 1 S, Greenville, MS 38701-8337 | 2007-05-30 |
1114134863 | Karen Ashmore Maltby | Allergy & Immunology | 811 Garfield St, Tupelo, MS 38801-5748 | 2007-05-16 |
1407955537 | Joshua F Phillips | Allergy & Immunology | 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 | 2006-09-22 |
1902882251 | Mississippi Asthma & Allergy Clinic Pa | Allergy & Immunology | 1513 Lakeland Dr, Ste 100, Jackson, MS 39216-4829 | 2005-12-19 |
1003892357 | Daniel L Venarske | Allergy & Immunology | 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 | 2005-12-19 |
1700867074 | Raphael A Buckle | Allergy & Immunology | 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 | 2005-11-14 |
1619304185 | Memorial Hospital At Gulfport | Allergy & Immunology | 12261 Highway 49 Ste 11, Gulfport, MS 39503-2976 | 2013-09-30 |
Find all providers with the same taxonomy |
City | HATTIESBURG |
Zip Code | 39402 |
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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.