Bromberg, William James
Bromberg, William James is an individual health care provider with primary practice located at 4750 Waters Ave Suite 202, Savannah GA 31404-6200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Bromberg, William James can be contacted via phone (912) 350-7412.Contact Information
Primary practice address
4750 Waters Ave Suite 202
Savannah GA 31404-6200
Phone: (912) 350-7412
Fax: (912) 350-7297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 051626 | Georgia |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 051626 | Georgia |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 051626 | Georgia |
Profile Details
| NPI number | 1932131190 |
|---|---|
| LBN Legal business name | Bromberg, William James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jan 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932131190 | NPPES |
| Georgia | Other | 349724 | WELLCARE |
| Georgia | MEDICAID | G51626 | WELLCARE |
| Georgia | Other | 10063478 | WELLCARE |
| Georgia | MEDICAID | 000968261A | WELLCARE |
| Georgia | Other | 020052888 | WELLCARE |
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