MRS. AMANDA FALLS BROOME PA-C NPI 1902088867

NPI Information

NPI: 1902088867
Provider Name: MRS. AMANDA FALLS BROOME, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
958 E MAIN ST
SPARTANBURG, SC
ZIP 29302
Phone: (864) 425-1572
Get Directions

MRS. Amanda Falls Broome, PA-C is a medical physician assistant in Spartanburg, SC with 17 years of experience. MRS. Amanda Falls Broome, PA-C NPI is 1902088867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

958 E MAIN ST
SPARTANBURG, SC
ZIP 29302-148
Phone: (864) 425-1572
Fax: (864) 469-7422

The NPI 1902088867 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 12/3/2007 and was last updated on 10/14/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	LL1258	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AA6221C020	MEDICARE PIN	SOUTH CAROLINA
2	AA6221	MEDICARE UPIN	SOUTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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