Adam Michael Bromberg, MD
Individual provider Active NPI Emergency Medicine Physician · Wellington, FL
NPI 1962616367 · NPPES record last updated Apr 24, 2019
Key facts
- NPI
- 1962616367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- ME100188 (FL)
- Practice address
- 10101 Forest Hill Blvd
Wellington, FL 33414-6103 - Phone
- (561) 798-8535
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Em Alliance LLC
Practice addresses (Care Compare)
10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (904) 334-0910
Hospital & facility affiliations
- Wellington Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080708000507 | FL | Practitioner - Emergency Medicine | 5698863827 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME100188 | FL | MD | Emergency Medicine Physician |
| 90141 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Em Alliance California, Apc | Emergency Medicine | Current |
Accepting new patients |
| Blue Radiology Services LLC | Current |
Accepting new patients | |
| Acute Care Associates of California PC | Emergency Medicine | Current | Accepting new patients |
| Em Alliance LLC | Emergency Medicine | Current |
Accepting new patients |
| Samaritan Emergency Corp | Emergency Medicine | Past | Accepting new patients |
| Miami Valley Emergency Specialists, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301
1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601
16750 Persimmon Blvd
Westlake, FL 33470
Phone (561) 791-7200
7 Easton Oval
#L4387
Columbus, OH 43219
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 90141 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | ME100188 | FL | Yes |
Addresses
Primary practice location
10101 Forest Hill Blvd
Wellington, FL 33414-6103
Mailing address
31 McCullogh Dr
Springboro, OH 45066-7803
Other practice location 1
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8609
Other providers in Wellington, FL
- Hector Britto
- Andrea Rae Brockman
- Mindy Brodsky
- Daniel Heath Brodtman
- Susan Elizabeth Brogan
- Brooke Masters LLC
- Judith Brown-Ray
- Anteria Brown
- Beth Brown
- Chelsi Dawn Brown
All providers in Wellington, FL · Emergency Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.