Dr. David Tyler Broome
Endocrinologist (Diabetes Doctor)
221 Michigan St Ne Ste 200
Grand Rapids
, Michigan 49503-2533
Dr. David Tyler Broome
Endocrinologist (Diabetes Doctor)
221 Michigan St Ne Ste 200
Grand Rapids
, Michigan 49503-2533
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Dr. David Tyler Broome
- 100 Michigan St Ne # Mc845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Dr. David Tyler Broome
- 221 Michigan St Ne Ste 200
- Grand Rapids, MI
- Zip : 49503-2533
- Phone : (616) 267-8950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 4301504475 | MI |
National Provider Identifier
| NPI | 1073976825 |
|---|---|
| Provider Name | Dr. David Tyler Broome |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Grand Rapids, MI 49503-2533 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2016 |
| Last Update Date | 31/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.