Provider Demographics
NPI:1740346733
Name:BROMELAND, SARAH JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JEAN
Last Name:BROMELAND
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2101 E JEFFERSON ST
Mailing Address - Street 2:KAISER PERMANENTE MEDICARE ENROLLMENT
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-2424
Mailing Address - Fax:
Practice Address - Street 1:1500 FOREST GLEN RD
Practice Address - Street 2:KAISER PERMANENTE
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1483
Practice Address - Country:US
Practice Address - Phone:301-754-7126
Practice Address - Fax:301-754-7127
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2022-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD33381207R00000X
VA0101248992207R00000X
MDD62571207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH81509Medicare UPIN
MD016517K92Medicare ID - Type Unspecified