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

John Edward Broome, PRSS

Individual provider Peer Specialist · NPI 1063127199

John Edward Broome, PRSS is a Peer Specialist in Talihina, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2023.

Licensed in
OK
In the registry since
2023

Practice location Address checks out

13224 SE 202nd Rd
Talihina, OK 74571-5866
Phone: (918) 567-7000
Fax: (918) 567-2417
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OK)

Record details

NPI number1063127199
Entity typeIndividual (Type 1)
GenderMale
Credentials PRSS
Sole proprietorNo
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address13224 Se 202nd Rd, Talihina, OK 74571-5866

Other providers in Talihina