Dr Dean Carl Broome, MD, is a
Legal Medicine physician based in Blackshear, Georgia. Dr Dean Carl Broome is licensed to practice in Georgia (license number 048604) and his current practice location is 115 Main St, Blackshear, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 449-1477.
NPI number for Dr Dean Carl Broome is 1356548002 and his current mailing address is 115 Main St, Po Box 271, Blackshear, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356548002.
Physician's Profile
| Full Name | Dr Dean Carl Broome |
|---|
| Gender | Male |
|---|
| Speciality | Legal Medicine |
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| Location | 115 Main St, Blackshear, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356548002
- Provider Enumeration Date: 06/27/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Dean Carl Broome such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356548002 | NPI | - | NPPES |
| 00886872A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 048604 (Georgia) | Primary |
| 208000000X | Pediatrics | 048604 (Georgia) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 048604 (Georgia) | Primary |
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 048604 (Georgia) | Primary |
| 209800000X | Legal Medicine | 048604 (Georgia) | 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. Dr Dean Carl Broome 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 |
|---|
Dr Dean Carl Broome, MD,
115 Main St, Po Box 271,
Blackshear, GA 31516-0271
Ph: (912) 449-1477 | Dr Dean Carl Broome, MD,
115 Main St,
Blackshear, GA 31516-0271
Ph: (912) 449-1477 |
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