National Provider Identifier
Jack Richard Bromsted, NP
Jack Richard Bromsted, NP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-7327.
Profile Overview
- NPI
- 1851300321
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- August 05, 2006
- Last Updated
- June 19, 2013
Practice Location
- 300 Crittenden Blvd
- PO Box Psych
- Rochester, NY 14642-0001
Phone: (585) 275-7327
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1851300321
- Entity Type
- Individual
- Last Name
- Bromsted
- First Name
- Jack
- Middle Name
- Richard
- Name Prefix
- Mr.
- Credential
- NP
- Mailing Street Address
- 300 Crittenden Blvd
- Mailing Address Line 2
- PO Box Psych
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-7327
- Mailing Fax
- (585) 273-1076
- Practice Street Address
- 300 Crittenden Blvd
- Practice Address Line 2
- PO Box Psych
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-7327
- Practice Fax
- (585) 273-1076
- Enumeration Date
- August 05, 2006
- Last Updated
- June 19, 2013
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)