Active NPI
David Bromberg, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Sewell, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 32161
- Practice address
- 292 Hurffville Grenloch Rd
Suite 100
Sewell, NJ 08080-2656 - Phone
- (856) 589-9200
- Fax
- (856) 589-1437
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 32161 | NJ | Primary |
Addresses
Primary practice location
292 Hurffville Grenloch Rd
Suite 100
Sewell, NJ 08080-2656
Mailing address
292 Hurffville Grenloch Rd
Suite 100
Sewell, NJ 08080-2656
Phone (856) 589-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Temple University School of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.23 of 100
- Quality
- 77.64
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 68.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32161 | NJ | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Surgical Associates, PA | Current | Accepting new patients | |
| Cooper Surgical Associates, PA | Current | Accepting new patients |
Locations
3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
2 Plaza Dr
Ste 202
Sewell, NJ 08080
Phone (856) 270-4100
Interoperability endpoints
- dbromberg108962@direct.cooperhealth.edu
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Voorhees, NJ
- NPI 1427177195
-
- Surgery Physician
- Camden, NJ
- NPI 1649217514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1376586412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 HURFFVILLE GRENLOCH RD",
"address_2": "SUITE 100",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802656",
"telephone_number": "856-589-9200",
"fax_number": "856-589-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 HURFFVILLE GRENLOCH RD",
"address_2": "SUITE 100",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802656",
"telephone_number": "856-589-9200",
"fax_number": "856-589-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROMBERG",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NJ",
"license": "32161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.