Individual provider Active NPI

Bria Kailin Brombacher, OTD

  • Occupational Therapist
  • Edwardsville, PA
National Provider Identifier
1205730108
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
TOC103876 Issued in PA
Practice address
115 Gateway Shopping Ctr
Edwardsville, PA 18704-4403
Phone
(570) 938-4634
Fax
(570) 763-4374
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X TOC103876 PA Primary

Addresses

Primary practice location

115 Gateway Shopping Ctr
Edwardsville, PA 18704-4403

Mailing address

278 Gedding St
Avoca, PA 18641-1006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1205730108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 GEDDING ST",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "186411006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GATEWAY SHOPPING CTR",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044403",
            "telephone_number": "570-938-4634",
            "fax_number": "570-763-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMBACHER",
        "first_name": "BRIA",
        "middle_name": "KAILIN",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "TOC103876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.