OrganizationActive
Reggie H. Broom, D.M.D., P.A.
NPI 1215280672 · Pediatric Dentistry · Gulfport, MS
Reggie H. Broom, D.M.D., P.A. is a Pediatric Dentistry organization in Gulfport, MS (NPI 1215280672).
Provider details
- NPI number
- 1215280672
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Reggie Broom, Pediatric Dentist/Owner(228) 896-5197
- License
- 2005-83 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1635 E Pass Rd
Gulfport, MS 39507-3527
Phone: (228) 896-5197
Fax: (228) 896-5192
Street-level locationGet directions
Mailing address
1635 E Pass Rd
Gulfport, MS 39507-3527
Registry dates
- Enumerated
- 2012-10-23
- Last updated
- 2012-10-23
Frequently asked questions
- What is Reggie H. Broom, D.M.D., P.A.'s NPI number?
- Reggie H. Broom, D.M.D., P.A.'s National Provider Identifier (NPI) is 1215280672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reggie H. Broom, D.M.D., P.A.?
- Reggie H. Broom, D.M.D., P.A. is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Reggie H. Broom, D.M.D., P.A. located?
- Reggie H. Broom, D.M.D., P.A.'s practice location on file with NPPES is 1635 E Pass Rd, Gulfport, MS 39507-3527.
- What is Reggie H. Broom, D.M.D., P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Reggie H. Broom, D.M.D., P.A. is (228) 896-5197.
- Who is the authorized official for Reggie H. Broom, D.M.D., P.A.?
- The authorized official listed on Reggie H. Broom, D.M.D., P.A.'s NPPES record is Reggie Broom, Pediatric Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reggie H. Broom, D.M.D., P.A.'s NPI active?
- Yes — Reggie H. Broom, D.M.D., P.A.'s NPI (1215280672) is active in the NPPES registry as of the last update on 2012-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.