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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: August 02, 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
Phone(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
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Other Names 1

Doing Business AsBromenn Family Health Clinic

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RACHEL CHRISTINE DALAL D.O.
Family Medicine
1300 FRANKLIN AVE STE 100
NORMAL, IL 61761
McLean County (309) 268-3761
STACEY THAO PHAN D.O.
General Practice
1300 FRANKLIN AVE STE 100
NORMAL, IL 61761
McLean County (309) 268-3455

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.

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.