James T Brom, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0927DT Issued in KY

Practice address

2135 Argillite Rd
Flatwoods, KY 41139-1629

Phone

(606) 836-8153

Fax

(606) 834-9420

NPI assigned

May 25, 2006

Last updated

Feb 21, 2014By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr James T Brom PSC

  • Optometrist
  • Flatwoods, KY
  • NPI 1326211103
  Medicare reassignment NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1417903261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 963",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411390963",
            "telephone_number": "606-836-8153",
            "fax_number": "606-834-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 ARGILLITE RD",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411391629",
            "telephone_number": "606-836-8153",
            "fax_number": "606-834-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROM",
        "first_name": "JAMES",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0927DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000050261",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009272",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Shayne Bennett, APRN
• Christina Bickley
• Jessica Marie Blevins, APRN
• Jessica Lynn Boggs, PHARMD, R.PH.
• Sarah Anne Braden
• Sonya A Caldwell, PA-C
• Kimberly Dawn Carter, RN
• Nancy Chandler
• Samantha Childers, PA
• John Alan Clark, R.PH.

• Optometrist in Flatwoods, KY
• Providers in Flatwoods, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.