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MATTHEW A BROOM MD NPI 1114967767


NPI Information

NPI: 1114967767
Provider Name: MATTHEW A BROOM, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Organization: ST LOUIS UNIVERSITY

PECOS Registration: Yes

Address:
1465 S GRAND BLVD
ST. LOUIS, MO
ZIP 63104
Phone: (314) 268-4070
Get Directions

Matthew A Broom, MD is a pediatrics in St. Louis, MO with 21 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Matthew A Broom, MD NPI is 1114967767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

1465 S GRAND BLVD
ST. LOUIS, MO
ZIP 63104-003
Phone: (314) 268-4070
Fax: (314) 268-4021

The NPI 1114967767 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 1/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics2006004155MISSOURIYes
22080P0204XPediatricsPediatric Emergency Medicine2006004155MISSOURINo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.