Active NPI
Crystal Dise Bromley, RN
- Psychiatric/Mental Health Registered Nurse
- Salisbury, MD
National Provider Identifier
1922560432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- R118394
- Practice address
- 108 E Main St
Salisbury, MD 21801-4921 - Phone
- (410) 742-3784
- Fax
- (410) 543-6918
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R118394 | MD | Primary |
Addresses
Primary practice location
108 E Main St
Salisbury, MD 21801-4921
Mailing address
108 E Main St
Salisbury, MD 21801-4921
Phone (410) 742-3784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R118394 | MD | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1922560432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 E MAIN ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218014921",
"telephone_number": "410-742-3784",
"fax_number": "410-543-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 E MAIN ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218014921",
"telephone_number": "410-742-3784",
"fax_number": "410-543-6918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROMLEY",
"first_name": "CRYSTAL",
"middle_name": "DISE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MD",
"license": "R118394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.