Individual provider Active NPI

Reginee Bautista Bromson, ARNP

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1992884134
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 3220762 Issued in FL
Practice address
1906 Clint Moore Rd
Boca Raton, FL 33496-2663
Phone
(561) 893-6872
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 3220762 FL Primary

Addresses

Primary practice location

1906 Clint Moore Rd
Boca Raton, FL 33496-2663

Mailing address

1331 SE 14TH CT
Deerfield Beach, FL 33441-7327
Phone (954) 570-6802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000283 FL Practitioner - Nurse Practitioner 7517999741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thema Brain Health Florida, LLCGroup PAC ID 4385091586, 4 clinicians

Practice addresses (Care Compare)

3998 Fau Blvd
Suite 120
Boca Raton, FL 33431-6429
Phone (561) 918-0003

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 3220762FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thema Brain Health Florida LLC CurrentSince Jan 8, 2025 Accepting new patients

Locations

3998 Fau Blvd
Ste 120
Boca Raton, FL 33431
Phone (561) 918-0002

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1992884134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 SE 14TH CT",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334417327",
            "telephone_number": "954-570-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 CLINT MOORE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962663",
            "telephone_number": "561-893-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMSON",
        "first_name": "REGINEE",
        "middle_name": "BAUTISTA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 3220762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.