CHARLES BRANDON BROOME MD
NPI 1720129992
Orthopaedic Surgery in San Antonio, TX

Q: What is Charles Broome's NPI number?

The NPI number for Charles Broome is 1720129992. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Q: What is Charles Broome's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: Is Charles Broome enrolled in Medicare?

No. Charles Broome has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Charles Broome was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 09, 2007Opted out of Medicare · through Jul 1, 2028

225 E SONTERRA BLVD STE 220, SAN ANTONIO, TX 78258(210) 614-5100(210) 614-5103 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: May 11, 2021, Jul 9, 2020, Jan 16, 2019 and 1 more (4 updates tracked since 2018).

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About Charles Brandon Broome Md NPPES

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

CHARLES BRANDON BROOME MD (NPI 1720129992) is an individual orthopaedic surgery provider in San Antonio, Texas, licensed in Texas (P7078) and active in the NPI registry since February 2007. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer, is affiliated with South Texas Spine And Surgical Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2006).

NPPES Registry Identity

NPI1720129992

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameCHARLES BRANDON BROOMECredential: MD

Location Address225 E SONTERRA BLVD STE 220San Antonio, TX 78258-3992

Mailing AddressPo Box 47052San Antonio, TX 78265-7052 · (210) 614-5100 · Fax (210) 614-5103

Phone(210) 614-5100

Fax(210) 614-5103

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2006

Enumeration DateFebruary 9, 2007

Last NPPES UpdateMay 11, 20214 updates tracked since enumeration

NPPES CertifiedMay 11, 2021

✔ NPI 1720129992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · P7078

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

225 E SONTERRA BLVD STE 220, San Antonio, TX 78258

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Charles Brandon Broome Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2018 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2018

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Hospital Affiliations CMS Care Compare

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

South Texas Spine And Surgical Hospital

Acute Care Hospitals · San Antonio, TX

OwnershipPhysician

CMS Certification Number450856

Location18600 North Hardy Oak BlvdSan Antonio, TX 78258 · Bexar County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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 6

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

MR. JAMES JEROME SEESHOLTZ PA, PT

Physician Assistant