JACQUELINE BROM M.D.
NPI 1366869497
Family Medicine in Beachwood, OH

Q: What is Jacqueline Brom's NPI number?

The NPI number for Jacqueline Brom is 1366869497. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Q: What is Jacqueline Brom'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 Jacqueline Brom was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 March 26, 2014PECOS EnrolledAccepts Medicare Assignment

26900 CEDAR RD, BEACHWOOD, OH 44122(216) 839-3000 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2019, Mar 17, 2018, Aug 8, 2017 and 1 more (4 updates tracked since 2017).

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About Jacqueline Brom M.d. NPPES

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

JACQUELINE BROM M.D. (NPI 1366869497) is an individual family medicine provider in Beachwood, Ohio, licensed in Ohio (35135732) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366869497

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJACQUELINE BROMCredential: M.D.

Location Address26900 CEDAR RDBeachwood, OH 44122-1191

Mailing Address26900 Cedar RdBeachwood, OH 44122-1191

Phone(216) 839-3000

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2014

Enumeration DateMarch 26, 2014

Last NPPES UpdateJuly 24, 20194 updates tracked since enumeration

✔ NPI 1366869497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 35135732✔ Licensed in IL · 036143463✔ Licensed in IL · 336.104842

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.

26900 CEDAR RD, Beachwood, OH 44122

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Secondary Practice Locations 2

Location 11775 Ballard RdPark Ridge, IL 60068-1005 · Phone (847) 318-6020

Location 277 Rand RdDes Plaines, IL 60016-1005 · Phone (847) 640-9180

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Brom M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476858978

PECOS Enrollment IDI20201203001342

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

58 services34 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

42 services42 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

16 services16 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460001

Location1034 North 500 WestProvo, UT 84604 · Utah County

Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460023

Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County

Emergency services Birthing friendly

Orem Community Hospital

Acute Care Hospitals · Orem, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460043

Location331 North 400 WestOrem, UT 84057 · Utah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MISS RACHEL WEIR VECCHIO DPT

Physical Therapist

26900 CEDAR RD, ROOM 124
BEACHWOOD, OH 44122

Cuyahoga County (216) 378-6240

THE CLEVELAND CLINIC FOUNDATION

Pharmacy (Clinic Pharmacy)