Individual provider Active NPI

Denise M Bromer, SLP

  • Speech-Language Pathologist
  • Mount Pleasant, SC
National Provider Identifier
1962783688
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
351565294 Issued in SC
Practice address
3100 Tradition Cir
Mt Pleasant, SC 29466-7200
Phone
(843) 654-7945
Fax
(843) 884-6481
NPI assigned
Sep 8, 2011
Last updated
Sep 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4296 SC
Speech-Language Pathologist 235Z00000X 351565294 SC Primary

Addresses

Primary practice location

3100 Tradition Cir
Mt Pleasant, SC 29466-7200

Mailing address

3100 Tradition Cir
Mt Pleasant, SC 29466-7200
Phone (843) 654-7945

Other identifiers 1

IdentifierTypeStateIssuer
4296OtherSCLICENSE #

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1962783688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 TRADITION CIR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667200",
            "telephone_number": "843-654-7945",
            "fax_number": "843-884-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TRADITION CIR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667200",
            "telephone_number": "843-654-7945",
            "fax_number": "843-884-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMER",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4296",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "351565294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "4296",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.