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NPI Code Detail

MEDICARE: DR. BENJAMIN ROBERT BROOME M.D.

MEDICARE:  DR. BENJAMIN ROBERT BROOME  M.D.
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
1207R00000XInternal Medicine Physician4353GA
2207RN0300XNephrology Physician33716AL

General Provider Information

NPI Number : 1467773671
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN ROBERT BROOME M.D.
Provider Business Mailing Address
First Line : 1770 INDEPENDENCE CT
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-1259
Country : US
Telephone Number : 205-226-5900
Fax Number : 205-226-5937
Provider Business Practice Location Address
First Line : 2244 NORTH RD STE 108
Second Line :
City : GARDENDALE
State : AL
Zip : 35071-2258
Country : US
Telephone Number : 205-226-5900
Fax Number : 205-226-5937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2010
Last Update Date : 09/30/2025

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Directions to “ DR. BENJAMIN ROBERT BROOME M.D.” Practice Location

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