Active NPI
Emily Nicole Bromer, M.S.CCC-SLP
- Speech-Language Pathologist
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2204000489
- Practice address
- 114 Willard Way
Lynchburg, VA 24502-5729 - Phone
- (412) 491-8448
- NPI assigned
- Jul 24, 2020
- Last updated
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2204000489 | VA | Primary |
Addresses
Primary practice location
114 Willard Way
Lynchburg, VA 24502-5729
Mailing address
114 Willard Way
Lynchburg, VA 24502-5729
Phone (412) 491-8448
Other practice location 1
1000 Monticello Rd Apt 203
Charlottesville, VA 22902-5965
Phone (412) 491-8448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
425 2ND St
Suite 405
San Francisco, CA 94107-1420
489 Sanchez St
San Francisco, CA 94114-2056
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2204000489 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hona Medical Group PA | Speech-Language Pathologist | Current | Accepting new patients |
Locations
6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571
20130 Lakeview Center Plz
Ste 400
Ashburn, VA 20147
Phone (700) 865-2144
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1528677630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WILLARD WAY",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245025729",
"telephone_number": "412-491-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WILLARD WAY",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245025729",
"telephone_number": "412-491-8448"
}
],
"practiceLocations": [
{
"address_1": "1000 Monticello Rd Apt 203",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229025965",
"country_code": "US",
"telephone_number": "412-491-8448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROMER",
"first_name": "EMILY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "M.S.CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-24",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2204000489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.