Brad Bromwell, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

181566 Issued in MD

Practice address

1740 Shotley Bridge Place
Olney, MD 20832-1734

Phone

(301) 363-4934

NPI assigned

Aug 3, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Platinum Surgical Assistants

  • Surgical Technologist
  • Fulton, MD
  • NPI 1962824896
  NPD (past)

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1164159752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 OLNEY LAYTONSVILLE RD STE 182",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321734",
            "telephone_number": "301-363-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SHOTLEY BRIDGE PLACE",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321734",
            "telephone_number": "301-363-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMWELL",
        "first_name": "BRAD",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "MD",
            "license": "181566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nancy@platinummedicalstaffing.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3470 Olney Laytonsville Rd Ste 182",
            "city": "Olney",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208321734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine Brinlee
• Mercedes Brito, PTA
• Dawn Broderick, M.D.
• Rachel S Brody, LCSW-C
• Carol Anne Brohawn, LCMFT
• Irina V Brown, MD
• Kendall Alexandra Brown, MD
• Emily Sue Browning, D.D.S.
• Susan Chiu Brule, O.D.
• Derek Bui, DO

• All providers in Olney, MD
• Surgical Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.