Active NPI
Richard Harris Bromer, M.D.
- Specialist
- Augusta, GA
National Provider Identifier
1992703193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 018206
- Practice address
- 3696 Wheeler Rd
Augusta, GA 30909-6520 - Phone
- (706) 736-1830
- Fax
- (706) 736-4521
- NPI assigned
- Jul 12, 2005
- Last updated
- Mar 15, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 018206 | GA | Primary |
Addresses
Primary practice location
3696 Wheeler Rd
Augusta, GA 30909-6520
Mailing address
3696 Wheeler Road
Augusta, GA 30909
Phone (706) 736-1830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00263238A2 | Medicaid | GA |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Oncology Associates PC | Specialist | Current | Accepting new patients |
Locations
3696 Wheeler Rd
Augusta, GA 30909
Phone (706) 736-1830
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ao Multispeciality
- Hematology & Oncology Physician
- Augusta, GA
- NPI 1912917824
Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1992703193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3696 WHEELER ROAD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30909",
"telephone_number": "706-736-1830",
"fax_number": "706-736-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3696 WHEELER RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096520",
"telephone_number": "706-736-1830",
"fax_number": "706-736-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROMER",
"first_name": "RICHARD",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "018206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00263238A2",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.