P Praxis·MD
● Active Type 1 · Individual

DR. Dean Carl Broome, M.D,

Legal Medicine·Blackshear, GA· NPI 1356548002 · Enumerated 2007 · 18 years on NPI
Broome is 1 of 1 legal medicine providers in Blackshear and 1 of 7 in Georgia.
NPI age
18 years
Enumerated 2007-06-27
Primary specialty
Legal Medicine
Plus 4 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7 active legal medicine providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
4
In the 42% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
115 Main St
Blackshear, GA 315160271
📞 9124491477fax 9124491479
Mailing address
115 Main St, Po Box 271
Blackshear, GA 315160271
📞 9124491477

Specialties

  • Legal Medicine Primary
    Legal Medicine is a special field of medicine that focuses on various aspects of medicine and law. Historically, the practice of legal medicine made contributions to medicine as a scientific instrument to solve criminal perplexities....
    GA license #048604 taxonomy 209800000X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #048604 taxonomy 207R00000X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #048604 taxonomy 208000000X
  • Pediatrics
    A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
    GA license #048604 taxonomy 2080A0000X
  • Pediatrics
    A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth...
    GA license #048604 taxonomy 2080P0205X

Identifiers

TypeValueNotes
05 (GA) 00886872A

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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