Susan C Bromell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6636 Issued in CO

Practice address

9203 Huron St
Thornton, CO 80260-5495

Phone

(303) 429-2273

NPI assigned

Mar 8, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comfort Dental Thornton Group

  • General Practice Dentistry
  • Thornton, CO
  • NPI 1407011984
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275664542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 W 107TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317605",
            "telephone_number": "303-456-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9203 HURON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802605495",
            "telephone_number": "303-429-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMELL",
        "first_name": "SUSAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02066363",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Chance Britz
• Teri E Broadwater
• Carole Broderick
• Devon Erin Broderick, B.A.
• Eric H Broecker, OD
• Colby Tyler Brooks
• Stephanie Marie Brooks, RN
• Brookside Physical Therapy PC
• Lucie W Brossard, M.A., LPC
• Jamie Brotherton

• General Practice Dentistry in Thornton, CO
• Providers in Thornton, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.