Basic Information
| Provider Information | |||||||||
| NPI: | 1659340065 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROOM | ||||||||
| FirstName: | KIMBERLY | ||||||||
| MiddleName: | LIVINGSTON | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | LIVINGSTON | ||||||||
| OtherFirstName: | KIMBERLY | ||||||||
| OtherMiddleName: | NICOLE | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 221 3RD ST W BLDG 1040 | ||||||||
| Address2: | |||||||||
| City: | JBSA RANDOLPH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781504800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2109169900 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 221 3RD ST W BLDG 1040 | ||||||||
| Address2: | |||||||||
| City: | JBSA RANDOLPH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781504800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2109169900 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2006 | ||||||||
| LastUpdateDate: | 12/08/2020 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | |||||||||
| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 12/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 0101238626 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.