DR. MARK JAMES BROOMHEAD DDS
NPI 1831531706
Dentist - General Practice in South Holland, IL

Q: What is Mark Broomhead's NPI number?

The NPI number for Mark Broomhead is 1831531706. It was assigned to this individual provider in the NPPES registry on July 22, 2013.

Q: What is Mark Broomhead's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Broomhead was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 July 22, 2013PECOS Enrolled

615 E 162ND ST, SOUTH HOLLAND, IL 60473(773) 817-5500 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mark James Broomhead Dds NPPES

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

DR. MARK JAMES BROOMHEAD DDS (NPI 1831531706) is an individual general practice provider in South Holland, Illinois, licensed in Illinois (019026740) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831531706

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK JAMES BROOMHEADCredential: DDS

Location Address615 E 162ND STSouth Holland, IL 60473-2329

Mailing Address615 E 162nd StSouth Holland, IL 60473-2329 · (773) 817-5500

Phone(773) 817-5500

Sole ProprietorYes

Enumeration DateJuly 22, 2013

✔ NPI 1831531706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019026740

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

615 E 162ND ST, South Holland, IL 60473

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark James Broomhead Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60473 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 2

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

5 STAR FAMILY DENTAL

Dentist (General Practice)

615 E 162ND ST
SOUTH HOLLAND, IL 60473

Cook County (708) 331-1900

DR. PATRICK MICHAEL GORMAN D.D.S.

Dentist (General Practice)

615 E 162ND ST
SOUTH HOLLAND, IL 60473

Cook County (708) 331-1900

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 Mark Broomhead's NPI number?

The NPI number for Mark Broomhead is 1831531706. It was assigned to this individual provider in the NPPES registry on July 22, 2013.

Where is Mark Broomhead located?

Mark Broomhead practices at 615 E 162nd St, South Holland, IL 60473. The listed phone number is (773) 817-5500.

What is Mark Broomhead's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Broomhead enrolled in Medicare?

Yes. Mark Broomhead is registered in the Medicare PECOS enrollment system.

What insurance does Mark Broomhead accept?

Health plans from Humana list Mark Broomhead 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 Mark Broomhead was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.