CLIFFORD BROMBERG PHD
NPI 1699712489
Psychologist - Clinical in East Providence, RI
About Clifford Bromberg Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLIFFORD BROMBERG PHD (NPI 1699712489) is an individual clinical provider in East Providence, Rhode Island, licensed in Rhode Island (PS00539) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Clifford Bromberg Phd 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 Clifford Bromberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 315 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, RI 02915
RIVERSIDE, RI 02915
RIVERSIDE, RI 02915
RIVERSIDE, RI 02915
RIVERSIDE, RI 02915
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 Clifford Bromberg's NPI number?
The NPI number for Clifford Bromberg is 1699712489. It was assigned to this individual provider in the NPPES registry on June 1, 2006.
Where is Clifford Bromberg located?
Clifford Bromberg practices at 1011 Veterans Memorial Pkwy, East Providence, RI 02915. The listed phone number is (401) 432-1347.
What is Clifford Bromberg's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Clifford Bromberg enrolled in Medicare?
Yes. Clifford Bromberg 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 Clifford Bromberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clifford Bromberg reassigns Medicare benefits to Lifespan Physician Group, Inc. (Providence, RI). 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 Clifford Bromberg'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 Clifford Bromberg was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Clifford Bromberg, PHD · NPI 1699712489
Clinical provider in East Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since June 1, 2006.
## Identity
- **NPI:** 1699712489 (Entity type: Individual)
- **Enumerated:** June 1, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PS00539 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 1011 VETERANS MEMORIAL PKWY, East Providence, RI 02915-5061
- **Phone:** (401) 432-1347 · **Fax:** (401) 432-1500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lifespan Physician Group, Inc. (NPI 1548506793, Providence, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** January 6, 2011
- **Other identifiers:** Other 30146-2 (RI); Other 205054 (RI); Other 61-40234 (RI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1699712489) · Data from the CMS NPPES public registry.