JACOB RICHARD BROMLEY (NPI# 1992310312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992310312 |
| Entity Type | Individual |
| Full Name | JACOB RICHARD BROMLEY |
| Credential | OD |
| Practice Address |
725 E Main St, Apt #1c Somerton AZ 85350 |
| Mailing Address |
17439 N 57th Ave Glendale AZ 85308-3819 |
| Practice Telephone | 9286274525 |
| Mailing Telephone | 9257085301 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 002462 | AZ | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10336 W Coggins Dr Ste A, Sun City, AZ 853513470 | 6239332013 | |
| 14435 N 7th St Ste 104, Phoenix, AZ 850224378 | 6029932727 | |
| 16020 N 35th Ave Ste 2, Phoenix, AZ 850533823 | 6025473255 |
| Street Address |
725 E MAIN ST, APT #1C |
| City | SOMERTON |
| State | AZ |
| Zip Code | 85350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144859539 | Saguaro Foundation Community Living Programs | Community Based Residential Treatment Facility, Mental Illness | 274 Avenue B Suite B, Somerton, AZ 85350 | 2020-04-07 |
| 1932755840 | Nohemi Azucena Ramirez | Specialist/Technologist | 215 N. Carlisle Ave., Somerton, AZ 85350 | 2019-08-15 |
| 1285164244 | Alexandra Pierre-bez | Dentist | 115 North Somerton Ave, Somerton, AZ 85350 | 2017-06-13 |
| 1427402965 | Saguaro Foundation Community Living Programs | Community Based Residential Treatment Facility, Mental Illness | 726 W. Jackson Street, Somerton, AZ 85350 | 2016-04-21 |
| 1619346905 | Katya Madrid | Specialist/Technologist | 806 E Ramona St, Somerton, AZ 85350 | 2015-09-17 |
| 1972999605 | Portable Practical Education Preparation, Inc. | Clinic/Center | 201 S. Bingham Avenue, Somerton, AZ 85350 | 2015-04-09 |
| 1659765329 | City of Somerton | Ambulance | 445 E Main St., Somerton, AZ 85350 | 2015-03-20 |
| 1437307196 | Patricia A. Parks | Physical Therapist | 215 N Carlisle Ave, Somerton, AZ 85350 | 2008-09-05 |
| 1639336936 | Brenda Valenzuela | Counselor | 215 N. Carlisle Ave, Somerton, AZ 85350 | 2008-05-22 |
| 1871781971 | Somerton School District | Local Education Agency (LEA) | 215 North Carlisle Avenue, Somerton, AZ 85350 | 2007-10-15 |
| Find all providers in zip 85350 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669215 | Rhian Kay Sage | Student in an Organized Health Care Education/Training Program | 737 E Fillmore St, Tempe, AZ 85281-1142 | 2020-11-08 |
| 1730788928 | Gabriella Jones | Student in an Organized Health Care Education/Training Program | 12104 S 181st Dr, Goodyear, AZ 85338-7865 | 2020-10-20 |
| 1174122279 | Amanda Oas | Student in an Organized Health Care Education/Training Program | 6304 W Corrine Dr, Glendale, AZ 85304-1607 | 2020-10-20 |
| 1265039283 | Meghan Houston | Student in an Organized Health Care Education/Training Program | 3600 W Ray Rd Apt 2103, Chandler, AZ 85226-7719 | 2020-10-02 |
| 1972118461 | Shanna Rae Begay | Student in an Organized Health Care Education/Training Program | 208 E Pine Knoll Drive Room 215 Building 66, Flagstaff, AZ 86011-0001 | 2020-09-10 |
| 1508470642 | Aisha J Ramirez-maya | Student in an Organized Health Care Education/Training Program | 5230 S 40th Pl, Phoenix, AZ 85040-3909 | 2020-09-05 |
| 1902410053 | Sanjhavi Agarwal | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir Apt 2102, Mesa, AZ 85206-3618 | 2020-09-05 |
| 1003429846 | Krista Lyn Beerling | Student in an Organized Health Care Education/Training Program | 5827 E Indian School Rd, Phoenix, AZ 85018-6104 | 2020-08-30 |
| 1518570456 | Ashlyn Marie Herbert | Student in an Organized Health Care Education/Training Program | 2760 E Butler Ave, Flagstaff, AZ 86004-6001 | 2020-08-29 |
| 1689287542 | Victoria Lyn Slaven | Student in an Organized Health Care Education/Training Program | 1342 S Revere, Mesa, AZ 85210-5124 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
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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.