Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Brom, MD

Individual provider Family Medicine Physician · NPI 1366869497

Jacqueline Brom, MD is a Family Practice in Beachwood, Ohio. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2014, 12 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Ohio.

Years since qualifying
12
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL, OH
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

26900 Cedar Rd
Beachwood, OH 44122-1191
Phone: (216) 839-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 77 Rand Rd, Des Plaines, IL 60016-1005 — (847) 640-9180
  • 1775 Ballard Rd, Park Ridge, IL 60068-1005 — (847) 318-6020

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35135732 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 336.104842 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036143463 (IL)

Record details

NPI number1366869497
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2014
Last updated in NPPESJuly 24, 2019
Mailing address26900 Cedar Rd, Beachwood, OH 44122-1191

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2014 (12 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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