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NPI Code Detail

MEDICARE: JOSEPH BROMBACH, M.D. PLLC

MEDICARE: JOSEPH BROMBACH, M.D. PLLC
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
1207P00000XEmergency Medicine Physician
2207Q00000XFamily Medicine Physician
3207R00000XInternal Medicine Physician
4208M00000XHospitalist Physician

General Provider Information

NPI Number : 1487712329
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH BROMBACH, M.D. PLLC
Provider Business Mailing Address
First Line : 3543 MOUNTAIN VIEW LN
Second Line :
City : BANEBERRY
State : TN
Zip : 37890-4833
Country : US
Telephone Number : 865-674-0506
Fax Number :
Provider Business Practice Location Address
First Line : 3543 MOUNTAIN VIEW LN
Second Line :
City : BANEBERRY
State : TN
Zip : 37890-4833
Country : US
Telephone Number : 865-674-0506
Fax Number :
Authorized Official
Title or Position : M.D.
Name : DR. JOSEPH ARTHUR BROMBACH
Credential :
Telephone Number : 865-674-0506
Provider Enumeration Date : 12/04/2006
Last Update Date : 09/11/2025

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