Individual
DR. JOSEPH A BROMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E MEETING ST, DANDRIDGE, TN 37725-5003
(865) 674-0506
Mailing address
3543 MOUNTAIN VIEW LN, BANEBERRY, TN 37890-4833
(865) 674-0506
(865) 397-8839
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35295
TN
207Q00000X
Family Medicine Physician
35295
TN
207R00000X
Internal Medicine Physician
35295
TN
208M00000X
Hospitalist Physician
35295
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114902541
—
VA
05
—
1509736
—
TN
05
—
3864832
—
TN
05
—
7100137900
—
KY
Enumeration date
12/08/2005
Last updated
04/13/2011
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