Individual provider · Type 1 NPI

Jared Randal McBroom, PA-C

Physician Assistant · Colorado Springs, CO

NPI number 1316605017 Active

Practice location

1400 E Boulder St
Colorado Springs, CO 80909-5533

Call (719) 365-5221 Map

Mailing address

PO Box 173891
Denver, CO 80217-3891

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.0008578 (CO)

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 1316605017

Jared Randal McBroom, PA-C's National Provider Identifier is 1316605017, issued on Nov 30, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 25, 2025.