BROMENN PHYSICIANS MANAGEMENT CORPORATION (NPI# 1922377431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922377431 |
| Entity Type | Organization |
| Organization Name | BROMENN PHYSICIANS MANAGEMENT CORPORATION |
| Other Organization Name | ADVOCATE MEDICAL GROUP IHLA |
| Practice Address |
1302 Franklin Ave Suite 4500 Normal IL 61761-3551 |
| Mailing Address |
701 Lee St Suite 300 Des Plaines IL 60016-4539 |
| Practice Telephone | 3098281166 |
| Practice Fax Number | 3098620330 |
| Mailing Telephone | 8473905900 |
| Mailing Fax Number | 8473905922 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Authorized Official Name | IAN STEWART (VP BUS SYS, FINANCE, OPS) |
| Authorized Official Telephone | 8473905453 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advocate Medical Group IHLA | 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 |
| 1487731220 | Bromenn Physicians Management Corporation | Family Medicine | 115 E Walnut St, Fairbury, IL 61739-1516 | 2006-11-01 |
| 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 |
1302 FRANKLIN AVE SUITE 4500 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419679 | John D Fulk | Physician Assistant | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3551 | 2005-06-29 |
| 1235686759 | Brooke Davis | Nurse Practitioner | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3551 | 2016-09-01 |
| 1043676109 | Amy J Stites | Physician Assistant | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3551 | 2016-01-05 |
| 1255700316 | Abigail G Cervantes | Obstetrics & Gynecology | 1302 Franklin Ave, Suite 2800, Normal, IL 61761-6526 | 2015-09-18 |
| 1700252228 | Prairieland Outpatient Diagnostic Center, LLC | Anesthesiology | 1302 Franklin Ave, Suite 1000, Normal, IL 61761-3551 | 2015-08-19 |
| 1467860445 | Christie Rocke | Nurse Practitioner | 1302 Franklin Ave, Suite 3400, Normal, IL 61761-3551 | 2014-07-23 |
| 1114343225 | Jennifer Lanz | Nurse Practitioner | 1302 Franklin Ave, Suite 4500, Normal, IL 61761-3551 | 2014-03-13 |
| 1396189411 | Consulting Anesthesiologists LLC | Anesthesiology | 1302 Franklin Ave, Normal, IL 61761-3551 | 2013-04-19 |
| 1285903799 | Bromenn Physicians Management Corporation | Counselor | 1302 Franklin Ave, Suite 1100, Normal, IL 61761-3551 | 2011-12-29 |
| 1033494455 | Maneesha T Joseph | Registered Nurse | 1302 Franklin Ave, Suite 3400, Normal, IL 61761-3551 | 2011-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114911971 | Christopher L. Nelson | Internal Medicine | 1302 Franklin Ave Ste 4500, Normal, IL 61761-3593 | 2005-09-08 |
| 1205123841 | Kartik B Mehta | Internal Medicine | 1302 Franklin Ave Ste 4500, Normal, IL 61761-3593 | 2011-07-04 |
| 1275710881 | Bloomington Heart Institute | Internal Medicine | 1300 Franklin Ave, Suite 310, Normal, IL 61761-3592 | 2008-01-25 |
| 1801084793 | Senthil K Sivalingam | Internal Medicine | 1302 Franklin Ave Ste 4500, Normal, IL 61761 | 2007-10-04 |
| 1023041175 | Thanom Temiyasathit | Internal Medicine | 1302 Franklin Ave, Suite 4500, Normal, IL 61761-3551 | 2006-07-09 |
| 1720028632 | Samir H. Shah | Internal Medicine | 1302 Franklin Ave, #4500, Normal, IL 61761-3551 | 2006-06-08 |
| 1033159959 | Beth L Tumilty | Internal Medicine | 1302 Franklin Ave, #4500, Normal, IL 61761-3551 | 2006-06-08 |
| 1083651939 | Dory C Jarzabkowski | Internal Medicine | 1302 Franklin Ave, #4500, Normal, IL 61761-3551 | 2006-06-01 |
| 1366494544 | Witoon Weraarchakul | Internal Medicine | 1302 Franklin Ave, 4500, Normal, IL 61761-3551 | 2006-05-16 |
| 1487619573 | Robert A. Braastad | Internal Medicine | 1302 Franklin Ave, Suite 4500, Normal, IL 61761-3551 | 2006-04-20 |
| Find all providers in NORMAL | ||||
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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.