MEDICARE: JAMES M BROMLEY M.D.,M.P.H.

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
1	207Q00000X	Family Medicine Physician	H9604	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3218486	OTHER	TX	AETNA HMO
3	41983B	OTHER	TX	AETNA
4	8J5600	OTHER	TX	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1255336996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES M BROMLEY M.D.,M.P.H.

Provider Business Mailing Address
First Line	:	3202 SAN PEDRO AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-2247
Country	:	US
Telephone Number	:	210-732-5100
Fax Number	:	210-732-5108

Provider Business Practice Location Address
First Line	:	3202 SAN PEDRO AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-2247
Country	:	US
Telephone Number	:	210-732-5100
Fax Number	:	210-732-5108

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	07/16/2024

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