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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Nicholas John Broom

PA-C

Physician Assistant - Surgical

NPI: 1518779917Basalt, Colorado, 81621(970) 476-1100Male

About Nicholas John Broom

Nicholas John Broom, PA-C, is a male healthcare professional specializing in Physician Assistant - Surgical with a focus on Surgical, registered under National Provider Identifier (NPI) number 1518779917.

Nicholas John Broom received his medical education at OTHER, graduating in 2024. Their primary practice is located at 200 ROBINSON ST, Basalt, Colorado 81621. Patients can reach the office at (970) 476-1100.

Nicholas John Broom is affiliated with 1 hospital in the area. Nicholas John Broom is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

Nicholas John Broom has been NPI-registered since 2025.

Key Metrics

Practice Locations

1

Affiliated Hospitals

1

Doctor Details

Identity & Credentials

NPI Number
1518779917
Entity Type
Individual
First Name
Nicholas
Last Name
Broom
Credential
PA-C
Gender
Male
Medical School
OTHER
Graduation Year
2024
Sole Proprietor
No
Status
active

Primary Practice Location

Address
200 ROBINSON ST
City
Basalt
State
Colorado
ZIP
81621-8472
Country
United States
Phone
(970) 476-1100

Specialty & Taxonomy

Primary Specialty
Physician Assistant - Surgical
Classification
Physician Assistant
Specialization
Surgical
Taxonomy Code
363AS0400X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
200 ROBINSON ST
City
BASALT
State
CO
ZIP
816218472

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Nicholas John Broom's NPI number?
Nicholas John Broom's National Provider Identifier (NPI) is 1518779917. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Nicholas John Broom specialize in?
Nicholas John Broom specializes in Physician Assistant - Surgical. They received their medical education at OTHER (class of 2024).
Where is Nicholas John Broom located?
Nicholas John Broom practices at 200 ROBINSON ST, Basalt, Colorado 81621. You can reach them by phone at (970) 476-1100.
Does Nicholas John Broom accept Medicare?
Yes, Nicholas John Broom is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Nicholas John Broom offer telehealth or virtual visits?
Nicholas John Broom does not currently offer telehealth services. In-person visits are required at their practice location.
Can Nicholas John Broom prescribe medications?
Yes, Nicholas John Broom is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Nicholas John Broom is 1518779917.