NPIMap

Organization Active NPI

Bromenn Healthcare Open MRI

Doing business as BroMenn Healthcare

  • General Acute Care Hospital
  • Normal, IL
National Provider Identifier
1699870063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1748518 Issued in IL
Legal business name
BROMENN HEALTHCARE OPEN MRI
Doing business as
BroMenn Healthcare
Practice address
1304 Franklin Ave
Normal, IL 61761-3558
Phone
(309) 454-1400
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kathy Davis
Title
VP/Cio/Corporate Integrity Officer
Phone
(309) 268-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1748518 IL Primary

Addresses

Primary practice location

1304 Franklin Ave
Normal, IL 61761-3558

Mailing address

PO Box 2850
Bloomington, IL 61702-2850
Phone (309) 454-1400

Other names 1

  • BroMenn Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bromenn Healthcare Open4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699870063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2850",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617022850",
            "telephone_number": "309-454-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 FRANKLIN AVE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613558",
            "telephone_number": "309-454-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROMENN HEALTHCARE OPEN MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VP/CIO/CORPORATE INTEGRITY OFFICER",
        "authorized_official_telephone_number": "309-268-2410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "1748518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BroMenn Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.