GEORGE WILLIAM BROMLEY JR. MFT INTERN
NPI 1598053928
Marriage & Family Therapist in Santa Rosa, CA
About George William Bromley Jr. Mft Intern NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGE WILLIAM BROMLEY JR. MFT INTERN (NPI 1598053928) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (IMF69971) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
George William Bromley Jr. Mft Intern is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show George Bromley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95403
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 George Bromley's NPI number?
The NPI number for George Bromley is 1598053928. It was assigned to this individual provider in the NPPES registry on July 19, 2011.
Where is George Bromley located?
George Bromley practices at 3440 Airway Dr, Santa Rosa, CA 95403. The listed phone number is (707) 800-3954.
What is George Bromley's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is George Bromley enrolled in Medicare?
Yes. George Bromley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for George Bromley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), George Bromley reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The 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 George Bromley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for George Bromley was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# George William Bromley Jr., MFT INTERN · NPI 1598053928
Marriage & Family Therapist provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since July 19, 2011.
## Identity
- **NPI:** 1598053928 (Entity type: Individual)
- **Enumerated:** July 19, 2011
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** IMF69971 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3440 AIRWAY DR, Santa Rosa, CA 95403-2065
- **Phone:** (707) 800-3954
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1598053928) · Data from the CMS NPPES public registry.