BROMENN PHYSICIAN MANAGEMENT CORPORATION NPI 1225061393

NPI Information

NPI: 1225061393
Provider Name: BROMENN PHYSICIAN MANAGEMENT CORPORATION
Classification: Internal Medicine - 207RC0000X
Specialization: Cardiovascular Disease
Entity Type: Organization
Doing Business As: ILLINOIS HEART & LUNG ASSOCIATES
Address: 1302 FRANKLIN AVE
SUITE 4500
NORMAL, IL
ZIP 61761
Phone: (309) 828-1166

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NPI Details

BROMENN PHYSICIAN MANAGEMENT CORPORATION is a cardiovascular disease internal medicine in Normal, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BROMENN PHYSICIAN MANAGEMENT CORPORATION NPI is 1225061393. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Illinois Heart & Lung Associates.

The provider's business location address is:

1302 FRANKLIN AVE
SUITE 4500
NORMAL, IL
ZIP 61761-551
Phone: (309) 828-1166
Fax: (309) 862-0330

The provider's authorized official is William Brouwer .
The authorized official title is President, Physicians Mgmnt Corp and has the following contact phone number (309) 268-2129.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 4/20/2008.

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
1	207RP1001X	Internal Medicine	Pulmonary Disease			No
2	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	212636	OTHER	ILLINOIS	MEDICARE GROUP NUMBER
2	05732097	OTHER	ILLINOIS	BCBS GROUP NUMBER
3	=========	OTHER		TAX ID NUMBER

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: 11/21/2025

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