Riley Bromley, CSFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

202352 Issued in FL

Practice address

339 Racetrack Rd NW Ste 12
Fort Walton Beach, FL 32547-1581

Phone

(850) 864-3339

NPI assigned

Feb 4, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1760296396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 THORNHILL RD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472632",
            "telephone_number": "810-278-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 RACETRACK RD NW STE 12",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471581",
            "telephone_number": "850-864-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "995 Mar Walt Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476758",
            "country_code": "US",
            "telephone_number": "850-863-7887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325412909",
            "country_code": "US",
            "telephone_number": "850-650-7606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Mar Walt Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476708",
            "country_code": "US",
            "telephone_number": "850-862-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROMLEY",
        "first_name": "RILEY",
        "name_prefix": "Mrs.",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "202352",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "202352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fwbortho@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "339 Racetrack Rd NW Ste 12",
            "city": "Fort Walton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325471581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bridgeway Health Clinics, Inc.
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• Melinda C Broadstone, O.T., M.T., CLT
• Bradley R Brobeck, MD
• Brittany Brock
• Ashley Brooks
• Stephanie Brooks, RBT
• Tara Brooks
• Ashley Lynne Brown, LMHC
• Elizabeth Glyn Brown, PH.D.

• Surgical Physician Assistant in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.