Audrey A Bromberger, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036072877 Issued in IL

Practice address

3033 Ogden Ave
Ste 300
Lisle, IL 60532-1673

Phone

(630) 717-5700

Fax

(630) 717-0665

NPI assigned

Sep 7, 2005

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1376537233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 OGDEN AVE",
            "address_2": "STE 300",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321673",
            "telephone_number": "630-717-5700",
            "fax_number": "630-717-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 OGDEN AVE",
            "address_2": "STE 300",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321673",
            "telephone_number": "630-717-5700",
            "fax_number": "630-717-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMBERGER",
        "first_name": "AUDREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036072877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072877",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna C Bredrup, LCPC
• Margaret Mary Brennan
• Sandra Broaddus, H.I.S.
• Matt Brodie, ATC
• John Lowell Brom, MSW, LCSW
• Brookdale Living Communities of Illinois - DNC, LLC
• Nora Elizabeth Brosnan, M.A, M.J, CCC-SLP
• Courtney Anne Brown, LCSW
• Cowan Brown, DPT
• Jennifer Helen Brown, O.D.

• Obstetrics & Gynecology Physician in Lisle, IL
• Providers in Lisle, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.