NPIMap

Organization Active NPI

Bromenn Healthcare, Inc.

  • General Acute Care Hospital
  • Normal, IL
National Provider Identifier
1184808404
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0004812 Issued in IL
Legal business name
BROMENN HEALTHCARE, INC.
Practice address
1304 Franklin Ave
Normal, IL 61761
Phone
(309) 268-5180
NPI assigned
Dec 21, 2007
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Mrs. Penny Cermak
Title
VP/Cfo
Phone
(309) 268-2185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0004812 IL Primary

Addresses

Primary practice location

1304 Franklin Ave
Normal, IL 61761

Mailing address

PO Box 2850
Bloomington, IL 61702-2850
Phone (309) 268-5180

Other identifiers 1

IdentifierTypeStateIssuer
827500OtherILMEDICARE PART B

Other names 1

  • BroMenn physicians Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1184808404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2850",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617022850",
            "telephone_number": "309-268-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 FRANKLIN AVE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-268-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROMENN HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "CERMAK",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "309-268-2185",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0004812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "827500",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BroMenn physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.