Anthony Bromagen, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

50.000894 Issued in OH

Practice address

12880 Commodity PL
Tampa, FL 33626-3101

Phone

(813) 343-5500

Fax

(813) 343-5506

NPI assigned

Feb 7, 2006

Last updated

Nov 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abromagen28446@ehrdirect.uhhospitals.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emh Regional Medical Center

  dba University Hospitals Elyria Medical Center

  • General Acute Care Hospital
  • Elyria, OH
  • NPI 1841299039
  Medicare reassignment
• University Hospitals St. John Medical Center

  dba St John Medical Center

  • Internal Medicine Physician
  • Westlake, OH
  • NPI 1427353713
  Medicare reassignment
• Emh Regional Medical Center

  • Nurse Practitioner
  • Elyria, OH
  • NPI 1629422480
  NPD
• Emh Professional Services Inc.

  • Obstetrics & Gynecology Physician
  • Elyria, OH
  • NPI 1508951070
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Emh Regional Medical Center

  dba University Hospitals Elyria Medical Center

  • General Acute Care Hospital
  • Elyria, OH
  • NPI 1841299039
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1003888538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21686",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336221686",
            "telephone_number": "813-343-5500",
            "fax_number": "813-343-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 COMMODITY PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263101",
            "telephone_number": "813-343-5500",
            "fax_number": "813-343-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMAGEN",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.000894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001193500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin David Brodsky
• Sarah M Brody, RPH
• Mary Kathleen Brogan, LCSW
• Andrew Brohl, M.D.
• Natalie Broidis
• Hannah Bromberg, DO
• Janell C Bromes
• Allison Bromley, MA CCC-SLP
• Melissa Broner
• Carly Jean Bronson

• Surgical Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.