| Dale Broome, MD | |
|
2 W Fern Ave, Redlands, CA 92373-5916 | |
| (909) 793-3311 | |
| (909) 335-1936 |
| Full Name | Dale Broome |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 2 W Fern Ave, Redlands, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396761631 | NPI | - | NPPES |
| 00G863480 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G86348 (California) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | G86348 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Redlands Community Hospital | Redlands, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Darin Rentz Do Pc | 7315333853 | 108 |
| Entity Name | Beaver Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| Entity Name | Darin Rentz Do Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689321747 PECOS PAC ID: 7315333853 Enrollment ID: O20220408001009 |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Broome, MD Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188 | Dale Broome, MD 2 W Fern Ave, Redlands, CA 92373-5916 Ph: (909) 793-3311 |
John W Mortensen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 Fax: 909-796-4158 | |
Dr. Robert A Cimini, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 Fax: 909-796-4158 | |
Kerry D Rold, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2 West Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 Fax: 909-796-4158 | |
James K Wallman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2 West Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 Fax: 909-796-4158 | |
Steven Beck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 | |
Dr. Karen E. Wat, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 Fax: 909-796-4158 | |
Dr. Steven M Sorenson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Lluhc Radiology, 2068 Orange Tree Lane #215, Redlands, CA 92354 Phone: 909-558-4756 |