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NPI Code Detail

MEDICARE: JOEL BROMLEY MD

MEDICARE: JOEL BROMLEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician35050721OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033117544
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL BROMLEY MD
Provider Business Mailing Address
First Line : PO BOX 632572
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-2572
Country : US
Telephone Number : 513-865-5204
Fax Number :
Provider Business Practice Location Address
First Line : 1241 SHAWHAN RD
Second Line :
City : MORROW
State : OH
Zip : 45152-9695
Country : US
Telephone Number : 513-865-5204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 06/28/2013

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