Liane Marissa Bromer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

43609 Issued in MN

Practice address

4021 S 700 E Ste 300
Salt Lake City, UT 84107-2184

Phone

(800) 453-3030

Fax

(800) 328-3091

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Urgent Care Doctors Office, PA

  • Family Medicine Physician
  • Eden Prairie, MN
  • NPI 1447204433
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316972953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 23RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043139",
            "telephone_number": "612-664-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 S 700 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072184",
            "telephone_number": "800-453-3030",
            "fax_number": "800-328-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMER",
        "first_name": "LIANE",
        "middle_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "43609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Brohamer, OTR/L
• Belinda Brokke
• Jeffory Lynn Broman, DDS
• Mark B. Bromberg, M.D.,PH.D.
• Kaylee Bromell, OTR/L
• Catherine Bromley
• Mary P Bronner, MD
• Laura Elizabeth Bronson
• Ormond Bronson
• Travis W Bronson

• Family Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.