Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark S Bromberg, MSPT

Individual provider Physical Therapist · NPI 1033196092

Mark S Bromberg, MSPT is a Physical Therapist in Private Practice in Bellevue, Washington. Qualified in 1992, 34 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
34
Licensed in
WA
In the registry since
2005
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Practice location Address checks out

3101 Northup Way Ste 101
Bellevue, WA 98004-1435
Phone: (425) 462-5006
Fax: (425) 462-5019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00007431 (WA)

Record details

NPI number1033196092
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address510 8th Ave Ne Ste 320, Issaquah, WA 98029-5436

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bellevue