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KEVIN JOHN BROEMS PA-C
NPI 1801455464
Physician Assistant - Medical in Springfield, MA

Active since June 07, 2019PECOS Enrolled
759 CHESTNUT STREET, SPRINGFIELD, MA 01107(413) 794-3233(413) 794-9060 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2019, Jun 7, 2019 (2 updates tracked since 2019).

About Kevin John Broems Pa-c NPPES

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

KEVIN JOHN BROEMS PA-C (NPI 1801455464) is an individual medical provider in Springfield, Massachusetts, licensed in Massachusetts (PA7061) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801455464
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEVIN JOHN BROEMSCredential: PA-C
Location Address759 CHESTNUT STREETSpringfield, MA 01107-1619
Mailing Address280 Chestnut Street, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Phone(413) 794-3233
Fax(413) 794-9060
Sole ProprietorNo
Enumeration DateJune 7, 2019
Last NPPES UpdateSeptember 19, 20192 updates tracked since enumeration
✔ NPI 1801455464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MA · PA7061
759 CHESTNUT STREET, Springfield, MA 01107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin John Broems Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CHRISTOPHER HIBBARD CRNA
Nurse Anesthetist, Certified Registered
759 CHESTNUT STREET
SPRINGFIELD, MA 01107
Hampden County (413) 795-0754
MISS KATHERINE ANN RING CPNP
Nurse Practitioner (Pediatrics)
759 CHESTNUT STREET
SPRINGFIELD, MA 01107
Hampden County (413) 794-9338
DR. SANJAY TIMILSINA MD
Internal Medicine
759 CHESTNUT STREET
SPRINGFIELD, MA 01107
Hampden County (413) 794-6297
ASHLEY KATHRYN ROBERTS PA-C
Physician Assistant (Surgical)
759 CHESTNUT STREET
SPRINGFIELD, MA 01107
Hampden County (413) 794-8020
DEEPIKA SUNDARARAJ MD
Psychiatry & Neurology (Psychiatry)
759 CHESTNUT STREET, WG703
SPRINGFIELD, MA 01107
Hampden County (413) 794-5555
MONICA SHAH
Emergency Medicine
759 CHESTNUT STREET, # S6538
SPRINGFIELD, MA 01107
Hampden County (413) 794-9060
CHELSEA BYRD PA-C
Physician Assistant
759 CHESTNUT STREET, # S6538
SPRINGFIELD, MA 01107
Hampden County (413) 794-3233
JOANNA LUTY MD
Pediatrics (Pediatric Hematology-Oncology)
759 CHESTNUT STREET, SW3500
SPRINGFIELD, MA 01107
Hampden County (413) 794-9338

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 Kevin Broems's NPI number?

The NPI number for Kevin Broems is 1801455464. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Kevin Broems located?

Kevin Broems practices at 759 Chestnut Street, Springfield, MA 01107. The listed phone number is (413) 794-3233.

What is Kevin Broems's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevin Broems enrolled in Medicare?

Yes. Kevin Broems is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Broems was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.