National Provider Identifier Database

MARK J BROERING JR, MD – NPI #1467714824
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

MARK J BROERING JR, MD
10506A MONTGOMERY RD
MONTGOMERY, OH45242-4402
Phone: 513-865-9898
Fax: 513-865-9900
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for MARK J BROERING JR

NPI Number 1467714824
Credentials MD
Entity Individual
Enumeration date 06/12/2012
Last updated 10/10/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 35.130473
  • OH Medicaid: 2565399
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MARK J BROERING JR, MD

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