Mark S Bromberg, MSPT | |
405 Nw Gilman Blvd, Suite 200, Issaquah, WA 98027-2470 | |
(425) 392-6804 | |
(425) 392-6805 |
Full Name | Mark S Bromberg |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 32 Years |
Location | 405 Nw Gilman Blvd, Issaquah, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033196092 | NPI | - | NPPES |
8347833 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00007431 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Center For Sports Medicine And Physical Therapy Inc | 1759278542 | 62 |
Provider Name | Northwest Center For Sports Medicine & Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982755070 PECOS PAC ID: 1759278542 Enrollment ID: O20150728005642 |
Mailing Address | Practice Location Address |
---|---|
Mark S Bromberg, MSPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222 | Mark S Bromberg, MSPT 405 Nw Gilman Blvd, Suite 200, Issaquah, WA 98027-2470 Ph: (425) 392-6804 |
Beth Simon Crabtree, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Nw Juniper St, Ste 104, Issaquah, WA 98027 Phone: 425-392-7989 Fax: 425-391-2554 | |
Kyle Brandon Mark, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Suite 340, Issaquah, WA 98029 Phone: 425-313-3055 Fax: 425-313-3051 | |
Nattika Detskultorn, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1301 4th Ave Nw Ste 100, Issaquah, WA 98027 Phone: 425-392-7989 | |
Jhansi Juluri, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 405 Nw Gilman Blvd Ste 200, Issaquah, WA 98027 Phone: 425-392-6804 Fax: 425-392-6805 | |
Rebekah D Ley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6520 226th Pl Se, Suite 205, Issaquah, WA 98027 Phone: 425-392-8611 Fax: 425-392-9012 | |
Kevin Michael Traupmann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Ste 340, Issaquah, WA 98029 Phone: 425-313-3055 Fax: 425-313-3051 | |
Ms. Cathy A. Olson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Nw Gilman Blvd, Suite A, Issaquah, WA 98027 Phone: 425-313-3055 Fax: 425-313-3051 |