MR. ROBERT JEROME BROMBERG BA CDP NPI 1073643623

NPI Information

  • NPI: 1073643623
  • Provider Name: MR. ROBERT JEROME BROMBERG, BA, CDP
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 306 2ND ST NE
    YELM, WA
    ZIP 98597
  • Phone: (360) 400-2242

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NPI Details

MR. Robert Jerome Bromberg, BA, CDP is an addiction (substance use disorder) counselor in Yelm, WA. MR. Robert Jerome Bromberg, BA, CDP NPI is 1073643623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

306 2ND ST NE
YELM, WA
ZIP 98597-647
Phone: (360) 400-2242
Fax: (360) 400-2471

The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)34121200WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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