KEVIN JOHN BROEMS


Address: 759 Chestnut Street, Springfield, MA 01107-1619
Phone: 4137943233

KEVIN JOHN BROEMS (NPI# 1801455464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801455464
Entity Type Individual
Full Name KEVIN JOHN BROEMS
Credential PA-C
Practice Address 759 Chestnut Street
Springfield
MA 01107-1619
Mailing Address 280 Chestnut Street
2nd Floor
Springfield
MA 01199-1001
Practice Telephone 4137943233
Practice Fax Number 4137949060
Mailing Telephone 4137945700
Enumeration Date 2019-06-07
Last Update Date 2019-09-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA7061 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 759 CHESTNUT STREET
City SPRINGFIELD
State MA
Zip Code 01107-1619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548267107 Donal T O'hanlon Psychiatry & Neurology 759 Chestnut Street, S5632, Springfield, MA 01199 2005-06-28
1700404688 Katherine L Pearson Physician Assistant 759 Chestnut Street, Springfield, MA 01107-1619 2020-07-08
1881214294 Jang Garcia Physician Assistant 759 Chestnut Street, Springfield, MA 01107-1619 2020-04-26
1578193470 Brian Michael Perl Pharmacist 759 Chestnut Street, Baystate Pharmacy - Daly 3, Springfield, MA 01199 2020-01-19
1710455654 Marta Golasinski Nurse Practitioner 759 Chestnut Street, Springfield, MA 01107 2018-11-08
1770051294 Pamela C Mumba Physician Assistant 759 Chestnut Street, Springfield, MA 01107-1619 2018-11-02
1063987030 Ashley Kathryn Provost Physician Assistant 759 Chestnut Street, Springfield, MA 01107-1619 2018-10-05
1396241972 Megan Phillips Physician Assistant 759 Chestnut Street, S3677, Springfield, MA 01107 2018-04-03
1487173175 Kristine Lauren Roth Nurse Practitioner 759 Chestnut Street, 2nd Fl, Springfield, MA 01107 2017-09-13
1174049167 Gina Marie Brengi Nurse Practitioner 759 Chestnut Street, Springfield, MA 01107-1619 2017-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740702547 Domingo Nieves Jr. Counselor 2225 Main St., Springfield, MA 01107 2017-07-13
1801318266 Denise Lawson Counselor 2257 Main Street, Springfield, MA 01107 2017-07-07
1568912491 Trina Cysz Nurse Practitioner 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 2016-10-04
1609322262 Toheeb Oladimeji Bakare Counselor 322 Birnie Avenue, Springfield, MA 01107 2016-09-01
1952701161 Jalissa Sostre Counselor 32 Abbe Ave, Springfield, MA 01107 2014-08-26
1659799161 Elizabeth A. Otmaskin Obstetrics & Gynecology 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 2014-04-01
1205268885 Catherine Matejcek Davies Counselor 246 Park Street, Springfield, MA 01107 2013-08-06
1750723268 Jasdeep S. Badwal Allergy & Immunology 2 Medical Center Dr Ste 406, Springfield, MA 01107 2013-07-25
1255691846 Medical Express Urgent Care Center, Co. Inc. Physical Medicine & Rehabilitation 438 Chestnut Street, Springfield, MA 01107 2012-05-17
1205166642 Matthew R Kelley Audiologist 100 Wason, Suite 100, Springfield, MA 01107 2010-01-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871122168 Alexandra Emmanuelle Rochman Physician Assistant 54 W Crystal Brook Dr, Springfield, MA 01118-1946 2020-04-07
1740740737 Western New England University Physician Assistant 215 Wilbraham Road, Springfield, MA 01119 2019-03-25
1033462387 Miguel Angel Medina Physician Assistant 1900 South Sunshine Ave., Springfield, MO 65807 2012-10-24
1770850216 Lauren Jennifer Navas Physician Assistant 100 River St Ste 2, Springfield, VT 05156-2930 2011-11-29
1295885168 Jacqueline Kernaghan Physician Assistant 723 Saxer Ave, Springfield, PA 19064-3503 2007-01-11
1295746733 Gwen Wright Physician Assistant 194 W Sproul Rd, Suite 105, Springfield, PA 19064-2027 2006-08-10
1164490710 Stacie L Pierce Physician Assistant 3721 W El Castile St, Springfield, MO 65807-5431 2006-03-09
1245206432 Annette K Bates Physician Assistant 819 Worcester St Ste 3, Springfield, MA 01151-1056 2006-02-27
1518947159 Louis Patrick Favata Physician Assistant 140 High St., Springfield, MA 01199 2006-01-19
1649257031 Scott D Rubin Physician Assistant 3400 Main Street, Springfield, MA 01107-1113 2005-12-27
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Competitor

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City SPRINGFIELD
Zip Code 01107

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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