| James Michael Broome, | |
|
492 Aj Mills Rd, Ponte Vedra, FL 32081-5117 | |
| (904) 888-7984 | |
| (800) 968-8914 |
| Full Name | James Michael Broome |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 492 Aj Mills Rd, Ponte Vedra, Florida |
| 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 |
|---|---|---|---|
| 1861953358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS18722 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Memorial Hospital | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Emergency Services Llc | 8628153087 | 401 |
| Entity Name | Emergency Medical Specialists of Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295738367 PECOS PAC ID: 2668361080 Enrollment ID: O20040313000203 |
| Entity Name | Paragon Emergency Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Mailing Address | Practice Location Address |
|---|---|
| James Michael Broome, 492 Aj Mills Rd, Ponte Vedra, FL 32081-5117 Ph: (904) 888-7984 | James Michael Broome, 492 Aj Mills Rd, Ponte Vedra, FL 32081-5117 Ph: (904) 888-7984 |
Dr. James Matthew Jones, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 145 Royal Lake Dr, Ponte Vedra, FL 32081 Phone: 615-785-3952 |
James M Kyle, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1110 A1a N, #101, Ponte Vedra, FL 32082 Phone: 904-280-8657 Fax: 904-280-8659 |
Dr. Alexei Mikhailovich Prytkov, M.D, PHD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10870 Us One N Unit 104, Ponte Vedra, FL 32081 Phone: 904-438-2720 Fax: 904-212-1711 |