Active NPI
Dr James T Brom PSC
- Optometrist
- Flatwoods, KY
National Provider Identifier
1326211103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0927DT
- Legal business name
- DR JAMES T BROM PSC
- Practice address
- 2135 Argillite Rd Ste J
Flatwoods, KY 41139-1629 - Phone
- (606) 836-8153
- Fax
- (606) 834-9420
- NPI assigned
- Apr 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Harbison
- Title
- Office Manager
- Phone
- (606) 836-8153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0927DT | KY | Primary |
Addresses
Primary practice location
2135 Argillite Rd Ste J
Flatwoods, KY 41139-1629
Mailing address
PO Box 963
Flatwoods, KY 41139-0963
Phone (606) 836-8153
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000050261 | Other | KY | BLUE CROSS BLUE SHIELD |
| 77009272 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Dr. James T. Brom, P.S.C. | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2135 Argillite Rd
Ste J
Flatwoods, KY 41139
Phone (606) 836-8153
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Flatwoods, KY
- NPI 1417903261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392940800000",
"number": "1326211103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 963",
"city": "FLATWOODS",
"state": "KY",
"postal_code": "411390963",
"telephone_number": "606-836-8153",
"fax_number": "606-834-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 ARGILLITE RD STE J",
"city": "FLATWOODS",
"state": "KY",
"postal_code": "411391629",
"telephone_number": "606-836-8153",
"fax_number": "606-834-9420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR JAMES T BROM PSC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-11",
"last_updated": "2014-02-21",
"status": "A",
"authorized_official_last_name": "HARBISON",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "606-836-8153"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "KY",
"license": "0927DT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000050261",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77009272",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flatwoods, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.