BROMENN PHYSICIAN MANAGEMENT CORPORATION (NPI# 1710213673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710213673 |
| Entity Type | Organization |
| Organization Name | BROMENN PHYSICIAN MANAGEMENT CORPORATION |
| Other Organization Name | ORTHOPEDIC SPORTS ENHANCEMENT CENTER |
| Practice Address |
2406 E Empire St Bloomington IL 61704-3630 |
| Practice Telephone | 3096639300 |
| Mailing Telephone | 3096639300 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |
| Authorized Official Name | MR. WILLIAM BROUWER (PRESIDENT,PHYSICIAN MGMNT CORP) |
| Authorized Official Telephone | 3092682129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ORTHOPEDIC SPORTS ENHANCEMENT CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225061393 | Bromenn Physician Management Corporation | Internal Medicine | 1302 Franklin Ave, Suite 4500, Normal, IL 61761-3551 | 2006-07-09 |
| Street Address |
2406 E EMPIRE ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366552630 | David Mcclure | Physical Therapist | 2406 E Empire St, Bloomington, IL 61704-3630 | 2006-08-30 |
| 1821637927 | Nickolas Allen Rhoades | Nurse Practitioner | 2406 E Empire St, Bloomington, IL 61704-3630 | 2020-01-06 |
| 1306350780 | Angela Sue Birdsell | Nurse Practitioner | 2406 E Empire St, Bloomington, IL 61704-3630 | 2017-11-21 |
| 1427578962 | Daniel Dodd | Radiologic Technologist | 2406 E Empire St, Bloomington, IL 61704-3630 | 2017-06-26 |
| 1811364052 | Cody Wickenhauser | Physical Therapist | 2406 E Empire St, Bloomington, IL 61704-3630 | 2015-08-24 |
| 1205988458 | Jaclyn Marie Walker | Physical Therapist | 2406 E Empire St, Bloomington, IL 61704-3630 | 2007-01-17 |
| 1225196488 | Millennium Pain Center LLC | Clinic/Center | 2406 E Empire St, Bloomington, IL 61704-3630 | 2006-12-04 |
| 1003900820 | Orthopedic and Sports Enhancement Center, LLC | Orthopaedic Surgery | 2406 E Empire St, Bloomington, IL 61704-3630 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1538191036 | Bloomington Bone & Joint Clinic, PC | Internal Medicine | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2006-07-07 |
| 1811049380 | Erich J Weidenbener | Internal Medicine | 639 S Walker St, Suite E, Bloomington, IN 47403 | 2007-01-17 |
| 1720030752 | C. Andrew Hunt | Internal Medicine | 8100 Northland Dr, Bloomington, MN 55431 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659874261 | Relive Physician Services LLC | Internal Medicine | 333 Waukegan Rd Ste G, Glenview, IL 60025-5122 | 2018-03-10 |
| 1003171596 | Midamerica Orthopaedics, S.c. | Internal Medicine | 1419 Peterson Rd, Libertyville, IL 60048-1001 | 2012-07-10 |
| 1528255049 | Naveed H Elahi Dc Sc | Internal Medicine | 1037 E Woodfield Rd, Schaumburg, IL 60173-4706 | 2007-09-28 |
| 1245359041 | Michael Phillip Fragen | Internal Medicine | 1615 S Norbury Ave, Lombard, IL 60148-6182 | 2007-03-29 |
| 1922157635 | Stephen Adams | Internal Medicine | 259 E Erie St # 100, Chicago, IL 60611-2930 | 2007-01-10 |
| 1023020989 | Ronald Anthony Hickombottom | Internal Medicine | 728 W Jackson Blvd Apt 306, Chicago, IL 60661-5405 | 2006-08-12 |
| 1285612259 | Kathleen M. Weber | Internal Medicine | 1611 W. Harrison, Suite 400, Chicago, IL 60612 | 2006-01-09 |
| 1275195059 | Sure Work Health Clinic Ltd | Internal Medicine | 830 N Ashland Ave, Chicago, IL 60622-5684 | 2019-07-02 |
| 1386102903 | Sure Work Health Clinic | Internal Medicine | 6222 S Pulaski Rd, Chicago, IL 60629-4610 | 2019-03-04 |
| 1235557877 | Angelo M. Savino | Internal Medicine | 720 Florsheim Dr, Libertyville, IL 60048 | 2014-04-01 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.