Edward    Bromberg    MD
Contract Details
Edward Bromberg, M.D., P.C.
Facility name
Provider ID
P000000200
NPI
1619086444
Tax ID
631283997
Effective Date
7/20/1993
Last Updated
6/6/2016
Direct Contract
Yes
Term Date
4/18/2003
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1413 Thompson Circle Suite A
Gardendale, AL 35071
United States
County
Jefferson
Phone
2056318887 (Phone)
Billing Details
Address
1413 Thompson Circle
Suite A
Gardendale, AL 35071
Billing Phone
2056318887
Specialty Type
Surgery, Orthopedic
Map
Address