NPIMap

Organization Active NPI

Bromley Brain & Mind Institute LLC

  • Neurology Physician
  • Audubon, NJ
National Provider Identifier
1144109554
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BROMLEY BRAIN & MIND INSTITUTE LLC
Practice address
739 S White Horse Pike Ste 1
Audubon, NJ 08106-1659
Phone
(856) 546-2300
Fax
(856) 546-2301
NPI assigned
Aug 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Morgan S Walton
Title
Executive Administrator
Phone
(856) 278-2088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

739 S White Horse Pike Ste 1
Audubon, NJ 08106-1659

Mailing address

739 S White Horse Pike Ste 1
Audubon, NJ 08106-1659
Phone (856) 546-2300

National Provider Directory

National Provider Directory

Locations

739 S White Horse Pike
Ste 1
Audubon, NJ 08106
Phone (856) 546-2300

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1144109554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 S WHITE HORSE PIKE STE 1",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061659",
            "telephone_number": "856-546-2300",
            "fax_number": "856-546-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 S WHITE HORSE PIKE STE 1",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061659",
            "telephone_number": "856-546-2300",
            "fax_number": "856-546-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROMLEY BRAIN & MIND INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "856-278-2088"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.