JEROME BROAD CRNA
NPI 1013976109
Nurse Anesthetist, Certified Registered in Lancaster, PA

Active since March 20, 2006
555 N DUKE ST, LANCASTER, PA 17602(717) 544-5511 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerome Broad Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROME BROAD CRNA (NPI 1013976109) is an individual nurse anesthetist, certified registered in Lancaster, Pennsylvania, licensed in Pennsylvania (RN326693L) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1013976109
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJEROME BROADCredential: CRNA
Location Address555 N DUKE STLancaster, PA 17602-2250
Mailing Address555 N Duke StLancaster, PA 17602-2250 · (717) 544-5511
Sole ProprietorNo
Enumeration DateMarch 20, 2006
Last NPPES UpdateMarch 30, 2011
NPI 1013976109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in PA · RN326693L
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

555 N DUKE ST, Lancaster, PA 17602

Other Identifiers 9

Other50055744PA · Keystone Health Plan Central
Other1147543PA · Aetna-hmo
Other4574637PA · Aetna-non Hmo
Medicare ID-Type Unspecified073037PA
Other000535767PA · Highmark
Other50055744PA · Capital Blue Cross
Other106579PA · Geisinger
Other0229988000PA · Independence Blue Cross
OtherP00233842PA · Rr Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
555 N DUKE ST
LANCASTER, PA 17602
Dietitian, Registered
555 N DUKE ST
LANCASTER, PA 17602
Psychiatry & Neurology (Psychiatry)
555 N DUKE ST
LANCASTER, PA 17602
Nurse Anesthetist, Certified Registered
555 N DUKE ST
LANCASTER, PA 17602
Nurse Anesthetist, Certified Registered
555 N DUKE ST
LANCASTER, PA 17602
Internal Medicine
555 N DUKE ST
LANCASTER, PA 17602
Nurse Anesthetist, Certified Registered
555 N DUKE ST
LANCASTER, PA 17602
Pharmacy (Community/Retail Pharmacy)
555 N DUKE ST
LANCASTER, PA 17602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Broad's NPI number?

The NPI number for Jerome Broad is 1013976109. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Jerome Broad located?

Jerome Broad practices at 555 N Duke St, Lancaster, PA 17602. The listed phone number is (717) 544-5511.

What is Jerome Broad's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Jerome Broad was last updated on March 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.