Bromenn Regional Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

0004812 Issued in IL

Legal business name

BROMENN REGIONAL MEDICAL CENTER

Practice address

1304 Franklin Ave
Normal, IL 61761

Phone

(309) 268-5180

NPI assigned

Dec 21, 2007

Organization subpart

Yes

Parent organization

BROMENN HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Mrs. Penny Cermak

Title

VP/Cfo

Phone

(309) 268-5180

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BRMC Cardiology Other name

Part of

Bromenn Healthcare Open

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1396929618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 FRANKLIN AVE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-268-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 FRANKLIN AVE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-268-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROMENN REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROMENN HEALTHCARE",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "CERMAK",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "309-268-5180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0004812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "827520",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRMC Cardiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bromenn Healthcare, Inc.
• Bromenn Physician Management Corporation (Illinois Heart & Lung Associates)
• Bromenn Physicians Management Corporation (Advocate Medical Group Bromenn)
• Bromenn Physicians Management Corporation (BroMenn Medical Group)
• Bromenn Physicians Management Corporation (Advocate Medical Group IHLA)
• Amy Louise Brooke, LCPC
• Adam Brown, FNP
• Jamie L Brown, PT, DPT
• Kaydee Brown
• Laniece J Brown, ATC

• General Acute Care Hospital in Normal, IL
• Providers in Normal, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.