Individual provider Active NPI

Michael K Brosman, MD

  • Ophthalmology Physician
  • Wilmington, DE
National Provider Identifier
1720032832
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C1-0007995 Issued in DE
Practice address
213 Greenhill Ave
Wilmington, DE 19805-1844
Phone
(302) 655-3321
Fax
(302) 656-8591
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 232178-1 NY
Ophthalmology Physician 207W00000X MD 064397L PA
Ophthalmology Physician 207W00000X C1-0007995 DE Primary

Addresses

Primary practice location

213 Greenhill Ave
Wilmington, DE 19805-1844

Mailing address

228 Broughton LN
Villanova, PA 19085-1914
Phone (302) 290-7958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060530000262 DE Practitioner - Ophthalmology 0547234882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Care P aGroup PAC ID 7214835602, 3 clinicians

Practice addresses (Care Compare)

213 Greenhill Ave
Wilmington, DE 19805-1800
Phone (302) 656-8867

213 Greenhill Ave
Wilmington, DE 19805-1844

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
232178-1NYMDOphthalmology Physician
MD 064397LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Ophthalmology CurrentSince Jan 1, 2008 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Advanced Eye Care P a CurrentSince Mar 4, 2011 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 1, 2008 Accepting new patients
Michael Brosman M.D., LLC Ophthalmology CurrentSince Mar 12, 2008 Accepting new patients
Moore Eye Care, P.C. Ophthalmology Past Accepting new patients
Legarreta Eye Center Past Accepting new patients

Locations

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

3801 Kennett Pike
Ste C108
Wilmington, DE 19807
Phone (302) 655-3321

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

4514 Kirkwood Hwy
Ste B
Wilmington, DE 19808

213 Greenhill Ave
Ste A
Wilmington, DE 19805
Phone (302) 656-8562

213 Greenhill Ave
Wilmington, DE 19805
Phone (302) 656-8867

Organizations & group practices 7

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1720032832",
    "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": "213 GREENHILL AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051844",
            "telephone_number": "302-655-3321",
            "fax_number": "302-656-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSMAN",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "232178-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD 064397L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C1-0007995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.