Individual provider Active NPI

Emily Diane Bromley, CRNA

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1649655820
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-099941 Issued in AL
Practice address
619 19TH St S # Jt807
Birmingham, AL 35249-6810
Phone
(205) 731-9701
Fax
(205) 297-9411
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-099941 AL Primary

Addresses

Primary practice location

619 19TH St S # Jt807
Birmingham, AL 35249-6810

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 934-4696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827000920 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537475132 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Anesthesia Consultants, LLCGroup PAC ID 1456635457, 9 clinicians

Practice addresses (Care Compare)

2010 Patton Chapel Rd
Suite 200
Vestavia Hills, AL 35216-5784
Phone (205) 208-9001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-099941ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Anesthesia Consultants LLC CurrentSince Aug 18, 2017 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 30, 2015 Accepting new patients
Southern Perioperative Services P C CurrentSince May 17, 2017 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2024 Accepting new patients

Locations

975 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-8700

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1600 Carraway Blvd
Birmingham, AL 35234
Phone (205) 502-6000

619 19th St S
#807
Birmingham, AL 35249
Phone (205) 996-9570

619 19th St S
Birmingham, AL 35249

200 Wildwood Pkwy
Ste 100A
Homewood, AL 35209
Phone (205) 623-4200

2010 Patton Chapel Rd
Ste 200
Hoover, AL 35216
Phone (205) 208-9001

4511 Southlake Pkwy
Hoover, AL 35244
Phone (205) 985-4398

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13928/brand/2/csg/1/fhir/r4

Organizations & group practices 5

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1649655820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-934-4696",
            "fax_number": "205-934-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S # JT807",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352496810",
            "telephone_number": "205-731-9701",
            "fax_number": "205-297-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMLEY",
        "first_name": "EMILY",
        "middle_name": "DIANE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-099941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.