Stephen Arnold Bromell Jr.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1008 Grey Fox LN Unit 4100
Myrtle Beach, SC 29579-4617

Phone

(843) 274-8805

NPI assigned

Mar 18, 2024

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2024.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1992564520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 GREY FOX LN UNIT 4100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794617",
            "telephone_number": "843-274-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 GREY FOX LN UNIT 4100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794617",
            "telephone_number": "843-274-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMELL",
        "first_name": "STEPHEN",
        "middle_name": "ARNOLD",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Myrtle Beach, SC
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.