Individual provider Active NPI

Eric Kregg Bromeisl, DPT

  • Physical Therapist
  • Eau Claire, WI
National Provider Identifier
1407641376
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17111-24 Issued in WI
Practice address
517 E Clairemont Ave
Eau Claire, WI 54701-6479
Phone
(715) 855-0408
NPI assigned
Apr 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17111-24 WI Primary

Addresses

Primary practice location

517 E Clairemont Ave
Eau Claire, WI 54701-6479

Mailing address

928 Bluff View CT
Chippewa Falls, WI 54729-2077
Phone (715) 456-3856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429000838 WI Practitioner - Physical Therapist in Private Practice 8224554670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Wisconsin School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Therapies, LLCGroup PAC ID 3375430028, 14 clinicians

Practice addresses (Care Compare)

517 E Clairemont Ave
Eau Claire, WI 54701-6479
Phone (715) 855-0408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Therapies, LLC Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
Optimum Therapies, LLC Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
Optimum Therapies, LLC Physical Therapist Current Accepting new patients

Locations

517 E Clairemont Ave
Eau Claire, WI 54701
Phone (715) 855-0408

1309 Stout Rd
Menomonie, WI 54751
Phone (715) 233-6230

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1407641376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 BLUFF VIEW CT",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292077",
            "telephone_number": "715-456-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 E CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016479",
            "telephone_number": "715-855-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMEISL",
        "first_name": "ERIC",
        "middle_name": "KREGG",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17111-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.

Verify at the official NPI Registry.