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

Nicholas John Broom, PA-C

Individual provider Surgical Physician Assistant · NPI 1518779917

Nicholas John Broom, PA-C is a Physician Assistant in Basalt, Colorado. Qualified in 2024, 2 years ago. Practices with Steadman Clinic Professional LLC, a 78-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

200 Robinson St
Basalt, CO 81621-8472
Phone: (970) 476-1100
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1518779917
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2025
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Steadman Clinic Professional Llc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount