BROMENN PHYSICIANS MANAGEMENT CORPORATION (NPI# 1487731220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487731220 |
| Entity Type | Organization |
| Organization Name | BROMENN PHYSICIANS MANAGEMENT CORPORATION |
| Other Organization Name | FAIRBURY MEDICAL ASSOCIATES |
| Practice Address |
115 E Walnut St Fairbury IL 61739-1516 |
| Practice Telephone | 8156922305 |
| Mailing Telephone | 8156922305 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | WILLIAM BROUWER (PRESIDENT) |
| Authorized Official Telephone | 3092682129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fairbury Medical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740207109 | Bromenn Physicians Management Corporation | Family Medicine | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-15 |
| 1285903799 | Bromenn Physicians Management Corporation | Counselor | 1302 Franklin Ave, Suite 1100, Normal, IL 61761-3551 | 2011-12-29 |
| 1922377431 | Bromenn Physicians Management Corporation | Internal Medicine | 1302 Franklin Ave, Suite 4500, Normal, IL 61761-3551 | 2011-12-29 |
| 1629155460 | Bromenn Physicians Management Corporation | Family Medicine | 105 S Major St, Eureka, IL 61530-1246 | 2006-11-01 |
| 1235216060 | Bromenn Physicians Management Corporation | Family Medicine | 385 S Orange St, El Paso, IL 61738-1613 | 2006-11-01 |
| Street Address |
115 E WALNUT ST |
| City | FAIRBURY |
| State | IL |
| Zip Code | 61739-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306865084 | Bonnie Smith | Family Medicine | 115 E Walnut St, Fairbury, IL 61739-1516 | 2006-07-19 |
| 1255748745 | Brenton Waystout | Nurse Practitioner | 115 E Walnut St, Fairbury, IL 61739 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1316101025 | Tracy Neal Taylor | Dentist | 202 East Locust Street, Fairbury, IL 61739 | 2008-07-11 |
| 1154491884 | Highland Park Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 902 E Oak St, Fairbury, IL 61739 | 2006-11-09 |
| 1740354117 | Henry John Handler | Dentist | 110 N 2nd St, Fairbury, IL 61739-1116 | 2006-11-20 |
| 1033687843 | Nu-atrics: Pediatric Nutrition & Wellness LLC | Durable Medical Equipment & Medical Supplies | 211 W Willow St, Fairbury, IL 61739-1172 | 2018-11-09 |
| 1114987161 | Fairview Haven Inc | Skilled Nursing Facility | 605 N 4th St, Fairbury, IL 61739-1210 | 2006-03-24 |
| 1336306570 | Prairie Central Cusd No 8 | Local Education Agency (LEA) | 605 N 7th St, Fairbury, IL 61739-1300 | 2008-05-16 |
| 1114313467 | Champion Fitness, Inc | Clinic/Center | 902 E Oak St Ste 3, Fairbury, IL 61739-1301 | 2015-04-14 |
| 1659704740 | Julie Patten | Pharmacist | 902 E Oak St, Fairbury, IL 61739-1390 | 2013-08-13 |
| 1124341250 | Michelle L. Miller | Specialist/Technologist | 902 E Oak St, Suite 3, Fairbury, IL 61739-1390 | 2010-03-03 |
| Find all providers in zip 61739 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548544679 | Gibson Community Hospital Association | Family Medicine | 221 Wal Crest Dr, Fairbury, IL 61739-8998 | 2011-10-07 |
| 1578656831 | Heather Schweizer | Family Medicine | 106 S 1st St, Fairbury, IL 61739-1509 | 2006-10-01 |
| 1306865084 | Bonnie Smith | Family Medicine | 115 E Walnut St, Fairbury, IL 61739-1516 | 2006-07-19 |
| 1699763003 | Richard A Blatny Jr. | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2005-10-10 |
| 1922462902 | Jefferson Community Health Center Inc | Family Medicine | 825 22nd St, Fairbury, NE 68352-1299 | 2016-04-06 |
| 1912388927 | Brett Wergin | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2015-06-16 |
| 1649436098 | Rachel Marie Wenger | Family Medicine | 401 S Clay St, Fairbury, IL 61739-1481 | 2008-08-05 |
| 1952399362 | Richard A Blatny | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2005-10-10 |
| 1811985237 | Craig J Shumard | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2005-10-10 |
| 1831187269 | Theodore C Tucker | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2005-10-10 |
| Find all providers in FAIRBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.