NPIMap

Individual provider Active NPI

Candace Leigh Bromley, PA-C

  • Physician Assistant
  • Loveland, CO
National Provider Identifier
1225334766
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006588 Issued in CO
Practice address
2500 Rocky Mountain Ave Ste 360
Loveland, CO 80538-9004
Phone
(970) 221-1000
Fax
(970) 624-1892
NPI assigned
Feb 1, 2011
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0006588 CO Primary
Medical Physician Assistant 363AM0700X 25MP00449400 NJ
Medical Physician Assistant 363AM0700X MA054798 PA

Addresses

Primary practice location

2500 Rocky Mountain Ave Ste 360
Loveland, CO 80538-9004

Mailing address

2500 Rocky Mountain Ave Ste 360
Loveland, CO 80538-9004
Phone (970) 221-1000

Other practice location 1

1113 Hospital Dr Ste 305
Willingboro, NJ 08046-1130
Phone (609) 835-3450

Other practice location 2

920 Lawn Ave Ste 6
Sellersville, PA 18960-1560
Phone (215) 257-8391

Other practice location 3

750 Route 73 S Ste 402
Marlton, NJ 08053-4145
Phone (609) 835-3450

Other practice location 4

200 Campbell Dr Ste 102
Willingboro, NJ 08046-1067
Phone (609) 877-4545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211103001696 CO Practitioner - Physician Assistant 9234309667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

11083 Colorado Blvd
Firestone, CO 80504-5873
Phone (303) 833-8880

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (303) 776-1234

2500 Rocky Mountain Ave
Loveland, CO 80538-9004

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0006588COMDPhysician Assistant
MA054798PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Sep 30, 2024 Accepting new patients
True North Health Navigation LLC CurrentSince Sep 28, 2021 Accepting new patients

Locations

5825 Delmonico Dr
Ste 101
Colorado Springs, CO 80919
Phone (706) 315-2523

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

2500 Rocky Mountain Ave
#360
Loveland, CO 80538

2500 Rocky Mountain Ave
Ste 360
Loveland, CO 80538
Phone (970) 221-5878

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 3

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

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1225334766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE STE 360",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389004",
            "telephone_number": "970-221-1000",
            "fax_number": "970-624-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE STE 360",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389004",
            "telephone_number": "970-221-1000",
            "fax_number": "970-624-1892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Hospital Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461130",
            "country_code": "US",
            "telephone_number": "609-835-3450",
            "fax_number": "609-835-3459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Lawn Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Sellersville",
            "state": "PA",
            "postal_code": "189601560",
            "country_code": "US",
            "telephone_number": "215-257-8391",
            "fax_number": "215-453-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Route 73 S Ste 402",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080534145",
            "country_code": "US",
            "telephone_number": "609-835-3450",
            "fax_number": "609-835-3459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Campbell Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461067",
            "country_code": "US",
            "telephone_number": "609-877-4545",
            "fax_number": "609-877-5129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROMLEY",
        "first_name": "CANDACE",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006588",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00449400",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.