Individual provider · Type 1 NPI

Corey Elizabeth Brom

Physician Assistant · Columbia, SC

NPI number 1174398986 Active

Practice location

120 Gateway Corporate Blvd
Columbia, SC 29203-9611

Mailing address

221 Riverview Ter
Lake Wylie, SC 29710-8964

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000X5055 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174398986

Corey Elizabeth Brom's National Provider Identifier is 1174398986, issued on Nov 21, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Columbia, SC. The record was last updated on Feb 17, 2025.