| Bromley Medical Group | |
|
3202 San Pedro Ave San Antonio TX 78212-2247 | |
| (210) 732-5100 | |
| (210) 732-5108 |
| Full Name | Bromley Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3202 San Pedro Ave, San Antonio, Texas |
| Authorized Official Name and Position | James M Bromley (OWNER) |
| Authorized Official Contact | 2107325100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bromley Medical Group 3202 San Pedro Ave San Antonio TX 78212-2247 Ph: (210) 732-5100 | Bromley Medical Group 3202 San Pedro Ave San Antonio TX 78212-2247 Ph: (210) 732-5100 |
| NPI Number | 1316276264 |
|---|---|
| Provider Enumeration Date | 12/23/2009 |
| Last Update Date | 12/23/2009 |
| Medicare PECOS PAC ID | 3375687973 |
|---|---|
| Medicare Enrollment ID | O20100220000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316276264 | NPI | - | NPPES |
| 104196404 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H9604 (Texas) | Primary |
| Provider Name | James Bromley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255336996 PECOS PAC ID: 7113061714 Enrollment ID: I20100220000108 |
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