Active NPI
Joseph A Brombach, MD
- Emergency Medicine Physician
- Dandridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35295
- Practice address
- 555 E Meeting St
Dandridge, TN 37725-5003 - Phone
- (865) 674-0506
- NPI assigned
- Dec 8, 2005
- Last updated
- Apr 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35295 | TN | Primary |
| Family Medicine Physician | 207Q00000X | 35295 | TN | |
| Internal Medicine Physician | 207R00000X | 35295 | TN | |
| Hospitalist Physician | 208M00000X | 35295 | TN |
Addresses
Primary practice location
555 E Meeting St
Dandridge, TN 37725-5003
Mailing address
3543 Mountain View LN
Baneberry, TN 37890-4833
Phone (865) 674-0506
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114902541 | Medicaid | VA | |
| 7100137900 | Medicaid | KY | |
| 3864832 | Medicaid | TN | |
| 1509736 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York Medical College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35295 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Eagle Creek Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Apogee Medical Group Tennessee PC | Internal Medicine | Current | Accepting new patients |
| Wellmont Medical Associates Inc | Family Medicine | Current | Accepting new patients |
| The Family Practice Center PC | Family Medicine | Past | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Past | Accepting new patients |
| Joseph Brombach, M.D. PLLC | Emergency Medicine | Past | Accepting new patients |
| Inpatient Consultants of Tennessee, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
1519 Main St
Sneedville, TN 37869
Phone (423) 733-5000
24530 Falcon Place Blvd
Ste 100
Abingdon, VA 24211
Phone (276) 619-0075
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Emergency Medicine Physician
- Paris, TN
- NPI 1134627557
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Bristol, TN
- NPI 1780986257
Family Medicine
-
- General Practice Physician
- Scottsdale, AZ
- NPI 1578717682
Internal Medicine, TN
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine
-
- Hospitalist Physician
- Johnson City, TN
- NPI 1497704050
Internal Medicine
-
- Family Medicine Physician
- Newport, TN
- NPI 1053300079
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hancock County Hospital
- Critical Access Hospital
- Sneedville, TN
- NPI 1053340158
-
dba Hancock County Hospital Swing Bed Unit
- Medicare Defined Swing Bed Hospital Unit
- Sneedville, TN
- NPI 1225068711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1114902541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3543 MOUNTAIN VIEW LN",
"city": "BANEBERRY",
"state": "TN",
"postal_code": "378904833",
"telephone_number": "865-674-0506",
"fax_number": "865-397-8839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E MEETING ST",
"city": "DANDRIDGE",
"state": "TN",
"postal_code": "377255003",
"telephone_number": "865-674-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROMBACH",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "35295",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "35295",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "35295",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "35295",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114902541",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100137900",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3864832",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1509736",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dandridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.