SANDRA CAROL BROEREN MD
NPI 1285674499
Family Medicine in Sandy, OR

Q: What is Sandra Broeren's NPI number?

The NPI number for Sandra Broeren is 1285674499. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Sandra Broeren's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Broeren was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 07, 2006

17055 RUBEN LN, SANDY, OR 97055(503) 668-8002(503) 668-5246 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 14, 2017, Dec 7, 2017 (3 updates tracked since 2017).

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About Sandra Carol Broeren Md NPPES

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

SANDRA CAROL BROEREN MD (NPI 1285674499) is an individual family medicine provider in Sandy, Oregon, licensed in Oregon (MD157517) and active in the NPI registry since June 2006. She maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1285674499

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSANDRA CAROL BROERENCredential: MD

Location Address17055 RUBEN LNSandy, OR 97055-9276

Mailing Address17055 Ruben LnSandy, OR 97055-9276 · (503) 668-8002 · Fax (503) 668-5246

Phone(503) 668-8002

Fax(503) 668-5246

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1285674499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD157517

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X · License 26866 (AL)

17055 RUBEN LN, Sandy, OR 97055

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Secondary Practice Location 1

Location 1619 19th Street SouthBirmingham, AL 35233 · Phone (205) 934-6600

Other Identifiers 8

Other051529787AL · Blue Cross

Medicaid009933007AL

Other051529784AL · Blue Cross

Other051529785AL · Blue Cross

Medicaid009933004AL

Other051529786AL · Blue Cross

Medicaid009933006AL

Medicaid009933008AL

Other Providers at the Same Location NPPES 15

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

ELIZABETH JOYCE PACARRO APRN

Nurse Practitioner (Family)