NPI age
20 years
Enumerated 2006-05-05
● Active
Type 1 · Individual
MR. Kendall Mark Broome, CRNA
Broome is 1 of 4 nurse anesthetist, certified registered providers in Buford and 1 of 2157 in Georgia.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
2334 Sparta Way Ste 200
Buford, GA 305192001
Mailing address
Po Box 740209, Dept 1041
Atlanta, GA 303740209
Additional practice locations
1 secondary location on file with NPPES.
Location 2
721 Wellness Way
Lawrenceville, GA 300463304
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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