Active NPI
Todd Bromberg
- Neurology Physician
- Jenkintown, PA
National Provider Identifier
1174740419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- LP00996
- Practice address
- 261 Old York Rd
Suite 707
Jenkintown, PA 19046-3706 - Phone
- (215) 576-1800
- Fax
- (215) 576-1860
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | LP00996 | RI | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | MD439937 | PA |
Addresses
Primary practice location
261 Old York Rd
Suite 707
Jenkintown, PA 19046-3706
Mailing address
261 Old York Rd
Suite 707
Jenkintown, PA 19046-3706
Phone (215) 576-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Interventional Pain Management
- Education
- Temple University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4979 Old St Rd
Suite B
Trevose, PA 19053-6222
Phone (267) 288-5601
Hospital & facility affiliations
- Doylestown Hospital
- St Luke'S Hospital - Grand View Campus
- St Luke'S Hospital - Upper Bucks Campus
- St Mary Medical Center
- Hospital of Univ of Pennsylvania
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP00996 | RI | MD | Neurology Physician |
| MD439937 | PA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Chase Pain Management Associates, PC | Current | Accepting new patients | |
| Ferrara Neurosurgical Associates LTD | Past | Accepting new patients |
Locations
1300 Horizon Dr
Ste 101
Chalfont, PA 18914
Phone (215) 489-9170
261 Old York Rd
Ste 707
Jenkintown, PA 19046
Phone (215) 576-1800
4979 Old Street Rd
Ste B
Trevose, PA 19053
Phone (215) 379-2600
Interoperability endpoints
- todd.bromberg@4009.securemail.prognocis.com
Organizations & group practices 2
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.
-
- Specialist
- Trevose, PA
- NPI 1881649416
-
- Specialist
- Jenkintown, PA
- NPI 1316993637
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Doylestown, PA
- NPI 1225091697
-
- General Acute Care Hospital
- Quakertown, PA
- NPI 1669405072
-
- General Acute Care Hospital
- Langhorne, PA
- NPI 1780686931
-
- General Acute Care Hospital
- Sellersville, PA
- NPI 1568459287
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1174740419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 OLD YORK RD",
"address_2": "SUITE 707",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463706",
"telephone_number": "215-576-1800",
"fax_number": "215-576-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 OLD YORK RD",
"address_2": "SUITE 707",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463706",
"telephone_number": "215-576-1800",
"fax_number": "215-576-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROMBERG",
"first_name": "TODD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "RI",
"license": "LP00996",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "PA",
"license": "MD439937",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.