Jason Benjamin Broom, is a
Community Health Worker based in Bakersfield, California. Jason Benjamin Broom is licensed to practice in * (Not Available) (license number ) and his current practice location is
2151 College Ave, Bakersfield, California. He can be reached at his office (for appointments etc.) via phone at
(661) 868-8037.
NPI number for Jason Benjamin Broom is 1609233238 and his current mailing address is Po Box 1000, Bakersfield, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609233238.
Healthcare Provider's Profile
| Full Name | Jason Benjamin Broom |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 2151 College Ave, Bakersfield, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609233238
- Provider Enumeration Date: 01/27/2016
- Last Update Date: 12/20/2023
Medical Identifiers
Medical identifiers for Jason Benjamin Broom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609233238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1235741116 (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Benjamin Broom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jason Benjamin Broom,
Po Box 1000,
Bakersfield, CA 93302-1000
Ph: (661) 868-6601 | Jason Benjamin Broom,
2151 College Ave,
Bakersfield, CA 93305-4113
Ph: (661) 868-8037 |
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