JOHN EDWARD BROOME PRSS
NPI 1063127199
Peer Specialist in Talihina, OK

Active since January 23, 2023
13224 SE 202ND RD, TALIHINA, OK 74571(918) 567-7000(918) 567-2417 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Edward Broome Prss NPPES

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

JOHN EDWARD BROOME PRSS (NPI 1063127199) is an individual peer specialist in Talihina, Oklahoma and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1063127199
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOHN EDWARD BROOMECredential: PRSS
Location Address13224 SE 202ND RDTalihina, OK 74571-5866
Mailing Address13224 Se 202nd RdTalihina, OK 74571-5866 · (918) 567-7000 · Fax (918) 567-2417
Fax(918) 567-2417
Sole ProprietorNo
Enumeration DateJanuary 23, 2023
NPPES CertifiedJanuary 23, 2023
NPI 1063127199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

13224 SE 202ND RD, Talihina, OK 74571

Other Providers at the Same Location NPPES 7

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

Peer Specialist
13224 SE 202ND RD
TALIHINA, OK 74571
Case Manager/Care Coordinator
13224 SE 202ND RD
TALIHINA, OK 74571
Behavior Technician
13224 SE 202ND RD
TALIHINA, OK 74571
Social Worker
13224 SE 202ND RD
TALIHINA, OK 74571
Social Worker (Clinical)
13224 SE 202ND RD
TALIHINA, OK 74571
Art Therapist
13224 SE 202ND RD
TALIHINA, OK 74571
Case Manager/Care Coordinator
13224 SE 202ND RD
TALIHINA, OK 74571

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 John Broome's NPI number?

The NPI number for John Broome is 1063127199. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is John Broome located?

John Broome practices at 13224 SE 202nd Rd, Talihina, OK 74571. The listed phone number is (918) 567-7000.

What is John Broome's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for John Broome was last updated on January 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.