HARRY L BROOME JR. M.D.
NPI 1619973880
Pediatrics - Adolescent Medicine in Phoenix, AZ
About Harry L Broome Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HARRY L BROOME JR. M.D. (NPI 1619973880) is an individual adolescent medicine provider in Phoenix, Arizona, licensed in Arizona (24182) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Harry L Broome Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Harry Broome reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85016
- Reassigned Medicare billing, Arizona enrollment
- 1,416 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PHOENIX, AZ 85031
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 Harry Broome's NPI number?
The NPI number for Harry Broome is 1619973880. It was assigned to this individual provider in the NPPES registry on June 22, 2005.
Where is Harry Broome located?
Harry Broome practices at 4700 N 51st Ave Ste 4, Phoenix, AZ 85031. The listed phone number is (623) 846-7575.
What is Harry Broome's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Harry Broome enrolled in Medicare?
Yes. Harry Broome is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Harry Broome's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Harry Broome reassigns Medicare benefits to Phoenix Children's Hospital (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Harry Broome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Harry Broome accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and UnitedHealthcare list Harry Broome as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Harry Broome was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Harry L Broome Jr., M.D. · NPI 1619973880
Adolescent Medicine physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since June 22, 2005.
## Identity
- **NPI:** 1619973880 (Entity type: Individual)
- **Enumerated:** June 22, 2005
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** 24182 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 4700 N 51ST AVE, STE 4, Phoenix, AZ 85031-1237
- **Phone:** (623) 846-7575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Phoenix Children's Hospital (NPI 1922112044, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
- **Other identifiers:** Other 85031A010 (AZ); Other 1399198 (AZ); Medicaid 350893 (AZ); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1619973880) · Data from the CMS NPPES public registry.