MR. ANTHONY BROMAGEN (PA) – Surgical Physician Assistant, NPI 1003888538

MR. ANTHONY BROMAGEN (PA) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50.000894 (OH). The NPI Number for MR. ANTHONY BROMAGEN (PA) is 1003888538

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANTHONY BROMAGEN (PA)
NPI
1003888538
Phone
(813) 343-5500
Address
12880 COMMODITY PL
Enumeration Date
7 February 2006
Last Update Date
10 November 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4403297500
Graduation Year
1984 (42 years ago)
PAC ID
4789603762
Group Practice PAC ID
7517931389
Professional Enrollment ID
I20051118000530
Address ID
OH440355902EL630XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MR. ANTHONY BROMAGEN (PA)

  • 12880 COMMODITY PL

    TAMPA, FL 336263101

    Phone: (813) 343-5500

    Fax: (813) 343-5506

    Type: Location

  • PO BOX 21686

    TAMPA, FL 336221686

    Phone: (813) 343-5500

    Fax: (813) 343-5506

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $185.

Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: ATRICURE, INC. ($143).

Total Amount

$185

General + Research + Ownership

Payments

4

Total payment records

General Amount

$185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051118000530IPhysician AssistantOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33626)

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Provider's Procedures

MR. ANTHONY BROMAGEN (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL27447Repair of knee joint1919

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517931389View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerMI
Physician AssistantOH
Physician AssistantOH

Reviews

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Frequently asked questions

How is MR. ANTHONY BROMAGEN (PA) identified in CMS data?
CMS-hosted NPPES data lists MR. ANTHONY BROMAGEN (PA) with NPI 1003888538.
Is MR. ANTHONY BROMAGEN (PA) still practicing?
MR. ANTHONY BROMAGEN (PA) is currently listed as active in the public NPI registry.
What is MR. ANTHONY BROMAGEN (PA)'s specialty?
The listing groups MR. ANTHONY BROMAGEN (PA) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MR. ANTHONY BROMAGEN (PA) serve?
MR. ANTHONY BROMAGEN (PA)'s listing highlights Tampa, Florida; more addresses can appear in NPPES.
Is the information about MR. ANTHONY BROMAGEN (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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