Bruno Armando Romeo Miramon, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

P1399 Issued in TX

Practice address

300 Wilson St
Henderson, TX 75652-5956

Phone

(903) 657-7541

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Henderson Hospital LLCGroup PAC ID 4789946054, 11 clinicians

East Texas Medical Center HendersonGroup PAC ID 9234288861, 11 clinicians

Henderson Memorial HospitalGroup PAC ID 9739159682, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ut Health East Texas Henderson Hospital Hospital, Henderson, TX, CCN 450475
• Ut Health East Texas Carthage Hospital Hospital, Carthage, TX, CCN 450210

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bromeo355731@ahs.direct-ci.com

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.

• Etmc Physician Group Inc.

  • Cardiovascular Disease Physician
  • Tyler, TX
  • NPI 1609382662

  TX

  Medicare reassignment Care Compare group NPD
• Henderson Hospital, LLC

  • Internal Medicine Physician
  • Henderson, TX
  • NPI 1043710437

  TX

  Medicare reassignment Care Compare group NPD
• Etmc Physician Group Inc.

  • Rural Health Clinic/Center
  • Chandler, TX
  • NPI 1235706581
  Care Compare group NPD
• Henderson Hospital, LLC

  • General Acute Care Hospital
  • Henderson, TX
  • NPI 1326546797
  Care Compare group NPD
• Etmc Physician Group Inc.

  • Rural Health Clinic/Center
  • Gun Barrel City, TX
  • NPI 1689241945
  Care Compare group
• Henderson Hospital, LLC

  • Rural Health Clinic/Center
  • Henderson, TX
  • NPI 1952800310
  Care Compare group
• Henderson Hospital, LLC

  • Certified Registered Nurse Anesthetist
  • Henderson, TX
  • NPI 1639670466
  NPD
• Carthage Hospital, LLC

  • Rural Health Clinic/Center
  • Carthage, TX
  • NPI 1639678030
  NPD (past)
• Henderson Memorial Hospital

  • Rural Acute Care Hospital
  • Henderson, TX
  • NPI 1205880424
  NPD (past)
• Starks Medical

  • Primary Care Nurse Practitioner
  • Bullard, TX
  • NPI 1306570593
  NPD (past)

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

• Carthage Hospital, LLC

  • General Acute Care Hospital
  • Carthage, TX
  • NPI 1538667035

  Hospital

  Care Compare affiliation
• Henderson Hospital, LLC

  • General Acute Care Hospital
  • Henderson, TX
  • NPI 1326546797

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1366564148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525956",
            "telephone_number": "903-657-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525956",
            "telephone_number": "903-657-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMEO MIRAMON",
        "first_name": "BRUNO",
        "middle_name": "ARMANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "001902",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P1399",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD19951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293896103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB150636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syed Ahsan Raza, DMD
• Zavyon Andra Rettig
• William Boyd Roberson Jr., DO
• Roger Rodenhuis, MD
• Ruby Celia Rodriguez
• Rusk Emergency Medicine Associates PA
• Rusk Physician Services PA
• Pamela Ervin Sanders, COTA, LVN
• Dyllon Sanford, PA-C
• John Thomas Sears, DDS

• All providers in Henderson, TX
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.