BROMENN FAMILY HEALTH CLINIC
NPI 1104442615
Clinic/Center in Normal, IL

Active since June 20, 2020CLIA Certified · 2 labs
1300 FRANKLIN AVE STE 100, NORMAL, IL 61761(309) 454-1400 Get Directions Write a Review

NPPES record last updated: June 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bromenn Family Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROMENN FAMILY HEALTH CLINIC (NPI 1104442615) is a healthcare organization registered as a clinic/center in Normal, Illinois and active in the NPI registry since June 2020. The organization holds 2 active CLIA laboratory certificates and lists Aron Klein, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104442615
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCARLE BROMENN MEDICAL CENTER
Location Address1300 FRANKLIN AVE STE 100Normal, IL 61761-3676
Mailing Address1304 Franklin AveNormal, IL 61761-3558 · (309) 454-1400
Organization SubpartNo
Authorized OfficialAron KleinCfo · (309) 268-2410
Enumeration DateJune 20, 2020
NPPES CertifiedJune 20, 2020
✔ NPI 1104442615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1300 FRANKLIN AVE STE 100, Normal, IL 61761

Other Names 1

Doing Business AsBromenn Family Health Clinic

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bromenn Family Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

71

Medicare enrollment records show 71 clinicians reassign Medicare billing to Bromenn Family Health Clinic, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Family Practice15
Nurse Practitioner11
Certified Registered Nurse Anesthetist (CRNA)7
Diagnostic Radiology6
Internal Medicine5
Emergency Medicine4
Anesthesiology3
Hospitalist3
12 other specialties17

Nearest to this location (20)

See all 71
Family Practice
NPI 1639751456
1300 FRANKLIN AVE
Normal, IL 61761
(708) 580-9954
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1972619526
1300 FRANKLIN AVENUE, SUITE 100
Normal, IL 61761
(309) 268-3761
✔ PECOSSame address
Hospitalist
NPI 1093291502
1300 FRANKLIN AVE STE 380
Normal, IL 61761
(309) 268-3598
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1639526007
1300 FRANKLIN AVE STE 380
Normal, IL 61761
(309) 268-3598
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1831578293
1304 FRANKLIN AVE
Normal, IL 61761
(309) 454-1400
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073027462
1302 FRANKLIN AVE
Normal, IL 61761
(309) 268-5867
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578951075
1302 FRANKLIN AVE STE 1100
Normal, IL 61761
(309) 268-2727
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1548799133
1302 FRANKLIN AVE STE 4500
Normal, IL 61761
(309) 556-8300
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1558945618
1302 FRANKLIN AVE STE 1100
Normal, IL 61761
(309) 268-2727
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912285024
1302 FRANKLIN AVE
Normal, IL 61761
(309) 268-5867
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1972887982
1300 FRANKLIN AVENUE, SUITE 100
Normal, IL 61761
(309) 268-3761
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1265780951
1304 FRANKLIN AVE
Normal, IL 61761
(309) 454-1400
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1578065504
1304 FRANKLIN AVE
Normal, IL 61761
(309) 454-1400
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1710364492
1304 FRANKLIN AVE STE 380
Normal, IL 61761
(309) 268-5130
✔ PECOSSame address
Emergency Medicine
NPI 1619557352
1304 FRANKLIN AVE STE 380
Normal, IL 61761
(309) 268-5130
✔ PECOSSame address
Family Practice
NPI 1285154799
1300 FRANKLIN AVE STE 110
Normal, IL 61761
(309) 268-3502
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1346817566
1437 E COLLEGE AVE
Normal, IL 61761
(309) 862-5700
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1770974800
1437 E COLLEGE AVE
Normal, IL 61761
(309) 862-5700
✔ PECOS✔ Accepts Medicare1.8 mi
Neurology
NPI 1043392160
2204 EASTLAND DR
Bloomington, IL 61704
(309) 661-6900
✔ PECOS✔ Accepts Medicare2.5 mi
Podiatry
NPI 1285194282
1111 TRINITY LN STE 111
Bloomington, IL 61704
(309) 608-5100
✔ PECOS✔ Accepts Medicare3.9 mi
See all 71 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D0703963

Carle Bromenn Medical Center · Normal, IL
Active · expires Apr 4, 2027
CLIA Number14D0703963
Laboratory TypeHospital
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorDr. Dana L. Altenburger
Laboratory Phone(309) 268-2673
Laboratory LocationCarle Bromenn Medical Center1304 Franklin Ave, Normal, IL 61761
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 14D0432295

Carle Bromenn Medical Center · Normal, IL
Active · expires Feb 27, 2027
CLIA Number14D0432295
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Dana L. Altenburger
Laboratory Phone(309) 268-2673
Laboratory LocationCarle Bromenn Medical Center1304 Franklin Ave Attn Lab, Normal, IL 61761
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carle Bromenn Medical Center's NPI number?

The NPI number for Carle Bromenn Medical Center is 1104442615. It was assigned to this organization in the NPPES registry on June 20, 2020. The provider is doing business as Bromenn Family Health Clinic.

Where is Carle Bromenn Medical Center located?

Carle Bromenn Medical Center is located at 1300 Franklin Ave Ste 100, Normal, IL 61761. The listed phone number is (309) 454-1400.

What is Carle Bromenn Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Carle Bromenn Medical Center enrolled in Medicare?

Yes. Carle Bromenn Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carle Bromenn Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 20 Medicare specialties reassign their Medicare billing to Carle Bromenn Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (15), Nurse Practitioner (11) and Certified Registered Nurse Anesthetist (CRNA) (7). Of these, 11 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Carle Bromenn Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Carle Bromenn Medical Center was last updated on June 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.