Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS JOHN BROOM, PA-C
ActiveNICHOLAS JOHN BROOM, PA-C is a Surgical Physician Assistant healthcare provider located in BASALT, Colorado. NPI 1518779917 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BASALT, CO
Registration Details
- NPI Number
- 1518779917
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2025 (1.5952452152972 yrs)
- Last Updated
- Jan 22, 2025
Practice Information
- Address
-
200 ROBINSON STBASALT, CO, 816218472Browse CO providers · Browse ZIP 81621
- Phone
- 9704761100
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.