MEDICARE: JULIE BROUGH AT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	AT-2686	OH

General Provider Information

NPI Number	:	1568830370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE BROUGH AT

Provider Business Mailing Address
First Line	:	3552 NORTHCLIFFE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-3667
Country	:	US
Telephone Number	:	307-760-7926
Fax Number	:

Provider Business Practice Location Address
First Line	:	3552 NORTHCLIFFE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-3667
Country	:	US
Telephone Number	:	307-760-7926
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2015
Last Update Date	:	09/10/2015

Similar Medicare Providers

1356972012 — MR. MARVIN C HUDSON
Practice Location Address:

3667 E 140TH ST
CLEVELAND, OH
44120-4548

Practice Phone: 216-903-5761
Practice Fax:

1477850550 — INNOCENT CHILDREN FOUNDATION
Practice Location Address:

836 S ARLINGTON HEIGHTS RD , 195
ELK GROVE VLG, IL
60007-3667

Practice Phone: 312-545-2211
Practice Fax:

1629439237 — DR. MY YANG DDS
Practice Location Address:

834 S ARLINGTON HEIGHTS RD
ELK GROVE VILLAGE, IL
60007-3667

Practice Phone: 847-439-2223
Practice Fax:

1215468566 — JAKUB PODOSEK PMHNP-BC
Practice Location Address:

836 S ARLINGTON HEIGHTS RD
ELK GROVE VILLAGE, IL
60007-3667

Practice Phone: --
Practice Fax:

1255293049 — TEQUIDA C FARRISH PHLEBOTOMIST TECH
Practice Location Address:

3165 YORKSHIRE RD
CLEVELAND HEIGHTS, OH
44118-2429

Practice Phone: 216-776-8832
Practice Fax:

1114889441 — CHARDEJA KIDD
Practice Location Address:

2043 MARLINDALE RD
CLEVELAND HEIGHTS, OH
44118-2512

Practice Phone: 216-889-7859
Practice Fax:

Directions to “ JULIE BROUGH AT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.