Healthcare Provider Details

I. General information

NPI: 1124831094
Provider Name (Legal Business Name): JAMES BROMWELL DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 01/27/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2577 HARTFORD AVE
WHITE RIVER JUNCTION VT
05001
US

IV. Provider business mailing address

PO BOX 181
WILDER VT
05088-0181
US

V. Phone/Fax

Practice location:
  • Phone: 802-295-9360
  • Fax:
Mailing address:
  • Phone: 802-295-9360
  • Fax: 802-295-9361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number006.0134216
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: