Michael Brosman M.D., LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C1-0007995 Issued in DE

Legal business name

MICHAEL BROSMAN M.D., LLC

Practice address

4514 Kirkwood Hwy
Wilmington, DE 19808-5118

Phone

(302) 998-0484

Fax

(302) 656-8594

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Kenneth Brosman, M.D.NPI 1720032832

Title

President

Phone

(302) 290-7958

Specialties & licenses 1

Addresses

Other names 1

• Brosman Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael K Brosman, MD

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1720032832

  DE, Ophthalmology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1669650560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BROUGHTON LN",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851914",
            "telephone_number": "302-290-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085118",
            "telephone_number": "302-998-0484",
            "fax_number": "302-656-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BROSMAN M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "BROSMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-290-7958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C1-0007995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brosman Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brosman Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christiane Mhanna, DO
• Noah Miccio
• Margaret R. Miccolis, APN
• Michael a Poleck DDS PA
• Michael Albert M D P C
• Michael K. Rosenthal, D.O., P.C.
• Michael L Centrella, Jr DPM
• Michael M Wydila MD PA
• Michael McRae Counseling Services
• Michael R Haag, DPM, Atc, LLC

• Ophthalmology Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Ophthalmology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.