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MRS. DENISE MICHELLE MCBROOM PA
NPI 1558546267
Physician Assistant in Cape Canaveral, FL

Active since January 02, 2008
390 CHALLENGER RD, CAPE CANAVERAL, FL 32920(321) 633-8640 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Denise Michelle Mcbroom Pa NPPES

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

MRS. DENISE MICHELLE MCBROOM PA (NPI 1558546267) is an individual physician assistant in Cape Canaveral, Florida, licensed in Florida (9111719) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1558546267
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. DENISE MICHELLE MCBROOMCredential: PA
Location Address390 CHALLENGER RDCape Canaveral, FL 32920-4200
Mailing Address602 E. 72nd StreetSavannah, GA 31405-4913 · (912) 819-7878 · Fax (912) 819-5044
Phone(321) 633-8640
Sole ProprietorYes
Enumeration DateJanuary 2, 2008
Last NPPES UpdateJanuary 25, 2022
NPPES CertifiedJanuary 25, 2022
✔ NPI 1558546267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 9111719
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 003185 (GA)
390 CHALLENGER RD, Cape Canaveral, FL 32920
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Other Identifiers 1

Medicaid972007681AGA

Other Providers at the Same Location NPPES

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

NORTH BREVARD MEDICAL SUPPORT, INC
Physical Medicine & Rehabilitation
390 CHALLENGER RD
CAPE CANAVERAL, FL 32920
Brevard County (321) 633-8640

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 Denise Mcbroom's NPI number?

The NPI number for Denise Mcbroom is 1558546267. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Where is Denise Mcbroom located?

Denise Mcbroom practices at 390 Challenger Rd, Cape Canaveral, FL 32920. The listed phone number is (321) 633-8640.

What is Denise Mcbroom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Denise Mcbroom was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.