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MR. KENDALL MARK BROOME CRNA
NPI 1932157484
Nurse Anesthetist, Certified Registered in Buford, GA

Active since May 05, 2006Accepts Medicare Assignment
2334 SPARTA WAY STE 200, BUFORD, GA 30519(678) 997-2151 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2026, Oct 3, 2021 (2 updates tracked since 2021).

About Mr. Kendall Mark Broome Crna NPPES

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

MR. KENDALL MARK BROOME CRNA (NPI 1932157484) is an individual nurse anesthetist, certified registered in Buford, Georgia, licensed in Georgia (RN 135213) and active in the NPI registry since May 2006. He maintains a secondary practice location in Lawrenceville and is a graduate of Other (2001).

NPPES Registry Identity

NPI1932157484
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. KENDALL MARK BROOMECredential: CRNA
Location Address2334 SPARTA WAY STE 200Buford, GA 30519-2001
Mailing AddressPo Box 740209, Dept 1041Atlanta, GA 30374-0209
Phone(678) 997-2151
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMay 5, 2006
Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1932157484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in GA · RN 135213
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2334 SPARTA WAY STE 200, Buford, GA 30519
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Other Names 1

Other Name (5)Mark Broome Crna

Secondary Practice Location 1

Location 1721 Wellness WayLawrenceville, GA 30046-3304 · Phone (770) 995-3113

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kendall Mark Broome Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062420805
PECOS Enrollment IDI20060405000225

Medicare Billing Reassignments

6

Medicare enrollment records show Kendall Broome reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gsg Anesthesia, LLC
12 mi
Anesthesiology
721 WELLNESS WAY STE 100
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 19 clinicians in this Medicare group
NPI 1184294761 (770) 339-8452
Gi Anesthesia Of Georgia LLC
15 mi
Nurse Anesthetist, Certified Registered
1955 TEXTILE WAY
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 489 clinicians in this Medicare group
NPI 1326569187 (404) 888-7575
Gastroenterology Anesthesia Associates, LLC
16 mi
Nurse Anesthetist, Certified Registered
2324 LIMESTONE OVERLOOK STE 200
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 110 clinicians in this Medicare group
NPI 1942563242 (888) 717-5383
Lake Lanier Anesthesia Associates, LLC
16 mi
Nurse Anesthetist, Certified Registered
2324 LIMESTONE OVERLOOK STE 200
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 18 clinicians in this Medicare group
NPI 1003443722 (770) 257-5324
Oconee River Anesthesia Associates, LLC
27 mi
Nurse Anesthetist, Certified Registered
1360 CADUCEUS WAY BLDG 300
Watkinsville, GA 30677
  • Reassigned Medicare billing, Georgia enrollment
  • 29 clinicians in this Medicare group
NPI 1992325641 (706) 850-4985
Anesthesia Dynamics LLC
462 mi
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Georgia enrollment
  • 386 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
141 services141 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
108 services106 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
103 services101 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
73 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30519 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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

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

BRASELTON ENDOSCOPY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
2334 SPARTA WAY STE 200
BUFORD, GA 30519
Gwinnett County (678) 997-2151

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 Kendall Broome's NPI number?

The NPI number for Kendall Broome is 1932157484. It was assigned to this individual provider in the NPPES registry on May 5, 2006. The provider is also known as Mark Broome Crna.

Where is Kendall Broome located?

Kendall Broome practices at 2334 Sparta Way Ste 200, Buford, GA 30519. The listed phone number is (678) 997-2151.

What is Kendall Broome's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kendall Broome enrolled in Medicare?

Yes. Kendall Broome is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kendall Broome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendall Broome reassigns Medicare benefits to 6 organizations: Gsg Anesthesia, LLC (Lawrenceville, GA), Gi Anesthesia Of Georgia LLC (Gainesville, GA), Gastroenterology Anesthesia Associates, LLC (Gainesville, GA), Lake Lanier Anesthesia Associates, LLC (Gainesville, GA), Oconee River Anesthesia Associates, LLC (Watkinsville, GA) and 1 more organization, listed in the Medicare section above. Each 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 Kendall Broome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kendall Broome was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.