Individual provider Active NPI

Bruce W Romick, MD

  • Urology Physician
  • Evansville, IN
National Provider Identifier
1144219932
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1025189A Issued in IN
Practice address
920 S Hebron Ave
Evansville, IN 47714-4086
Phone
(812) 473-1111
Fax
(812) 473-0911
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 1025189A IN Primary

Addresses

Primary practice location

920 S Hebron Ave
Evansville, IN 47714-4086

Mailing address

PO Box 5106
Evansville, IN 47716-5106
Phone (812) 473-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100614000602 IN Practitioner - Urology 9133015944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1025189AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Urologists, Inc., PC Urology CurrentSince Jul 1, 2016 Accepting new patients

Locations

7614 Solutions Ctr
Chicago, IL 60677

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

13100 E 136th St
Fishers, IN 46037
Phone (317) 678-2000

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1144219932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5106",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165106",
            "telephone_number": "812-473-1111",
            "fax_number": "812-473-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S HEBRON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477144086",
            "telephone_number": "812-473-1111",
            "fax_number": "812-473-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMICK",
        "first_name": "BRUCE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "1025189A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.