Organization Active NPI

Bromley Health Care, PLLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1316276264
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H9604 Issued in TX
Legal business name
BROMLEY HEALTH CARE, PLLC
Doing business as
BROMLEY HEALTH CARE, PLLC
Bromley Medical Group
Practice address
3202 San Pedro Ave
San Antonio, TX 78212-2247
Phone
(210) 732-5100
Fax
(210) 732-5108
NPI assigned
Dec 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
James M Bromley, M.D.NPI 1255336996
Title
Owner
Phone
(210) 732-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H9604 TX Primary

Addresses

Primary practice location

3202 San Pedro Ave
San Antonio, TX 78212-2247

Mailing address

3202 San Pedro Ave
San Antonio, TX 78212-2247
Phone (210) 732-5100

Other identifiers 1

IdentifierTypeStateIssuer
104196404MedicaidTX

Other names 2

  • BROMLEY HEALTH CARE, PLLC Doing business as
  • Bromley Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100220000117 TX Part B Supplier - Clinic/Group Practice 3375687973 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1316276264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122247",
            "telephone_number": "210-732-5100",
            "fax_number": "210-732-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122247",
            "telephone_number": "210-732-5100",
            "fax_number": "210-732-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROMLEY HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "BROMLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-732-5100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104196404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROMLEY HEALTH CARE, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bromley Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bromley Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.