DR. DAVID BROMBERG (NPI# 1164684718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164684718 |
| Entity Type | Individual |
| Full Name | DR. DAVID BROMBERG |
| Credential | PSY.D. |
| Practice Address |
100 S Broad St Suite 1700 Philadelphia PA 19110-1023 |
| Mailing Address |
59 E Montgomery Ave Hatboro PA 19040-2611 |
| Practice Telephone | 2154796686 |
| Practice Fax Number | 2157011575 |
| Mailing Telephone | 2154796686 |
| Mailing Fax Number | 2157014575 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS009169L | PA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS009169L | PA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PS009169L | PA | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PS009169L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376586412 | David Bromberg | Otolaryngology | 292 Hurffville Grenloch Rd, Suite 100, Sewell, NJ 08080-2656 | 2006-06-14 |
| 1386132173 | David Bromberg | Clinical Exercise Physiologist | 2801 Rock Creek Pkwy, Kansas City, MO 64117-2520 | 2018-04-26 |
| 1942542618 | David Jeremy Bromberg | Internal Medicine | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2013-03-20 |
| 1205830833 | David Bromberg | Pediatrics | 1475 Taney Ave, Ste 201, Frederick, MD 21702-5126 | 2005-06-10 |
| Street Address |
100 S BROAD ST SUITE 1700 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19110-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380994 | Margaret Adamucci | Counselor | 100 S Broad St, Suite 1309, Philadelphia, PA 19110-1023 | 2005-07-19 |
| 1639421266 | Weinerman Pain & Wellness | General Practice | 100 S Broad St, Suite 1800b, Philadelphia, PA 19110-1023 | 2012-10-05 |
| 1124393681 | Center City Psychology, PC | Psychologist | 100 S Broad St, Suite 1215, Philadelphia, PA 19110-1023 | 2012-03-16 |
| 1568741668 | Deborah B. Dilazzero | Psychologist | 100 S Broad St, Suite 1215, Philadelphia, PA 19110-1023 | 2011-08-08 |
| 1356639603 | Kelly Ann Nabal | Psychologist | 100 S Broad St, 17th Floor, Philadelphia, PA 19110-1023 | 2011-07-20 |
| 1720376635 | Kimberly Lynn Hoffman | Psychologist | 100 S Broad St, Suite 1215, Philadelphia, PA 19110-1023 | 2011-07-12 |
| 1831488766 | Weinerman Pain and Wellness, LLC | Clinic/Center | 100 S Broad St, Suite 1800-b, Philadelphia, PA 19110-1023 | 2011-03-31 |
| 1518260678 | Ana Maria Hagstrand | Psychologist | 100 S Broad St, Suite 1215, Philadelphia, PA 19110-1023 | 2010-12-13 |
| 1851606115 | Women Against Abuse, Inc | Community/Behavioral Health | 100 S Broad St, Suite 1341, Philadelphia, PA 19110-1023 | 2010-08-11 |
| 1447497854 | Theodore E Glackman | Psychologist | 100 S Broad St, 17th Floor, Philadelphia, PA 19110-1023 | 2009-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518332543 | Thomas Fredrick Haworth | Psychologist | 100 South Broad St, Suite 1700, Philadelphia, PA 19110 | 2015-12-02 |
| 1588076178 | Hanel Ariel Choi | Dentist | 100 S. Broad St. Suite 1530, Philadelphia, PA 19110 | 2014-05-29 |
| 1104093004 | Erin Hadley | Psychologist | 100 S. Broad St., Suite 915, Philadelphia, PA 19110 | 2008-05-11 |
| 1407053846 | Kimberly Davis | Chiropractor | 100 S Broad Street, Suite 1800b, Philadelphia, PA 19110 | 2007-06-29 |
| 1023177144 | Joseph J. Peters Institute | Community/Behavioral Health | 100 South Broad Street, 17th Floor, Philadelphia, PA 19110 | 2006-12-06 |
| 1366997223 | Jenna Courtney Rosenau | Social Worker | 100 S Broad Street, Suite 1920, Philadelphia, PA 19110 | 2016-08-22 |
| 1578921359 | Tri-state Sport and Spine, Pllc | Chiropractor | 100 South Broad Street, 1800, Philadelphia, PA 19110 | 2016-02-08 |
| 1164802708 | Jordan Levy | Social Worker | 100 S. Broad Street, Suite 1515, Philadelphia, PA 19110 | 2015-06-08 |
| 1528485828 | Boston Medical Group Pennsylvania, P.C. | Urology | 100 S. Broad Street, Suite 2136, Philadelphia, PA 19110 | 2014-03-25 |
| 1821434788 | Kathleen Fragale | Physical Therapist | 100 S Broad Street, Suite 1800b, Philadelphia, PA 19110 | 2013-05-20 |
| Find all providers in zip 19110 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851092 | Erica Marla Schulte | Psychologist | 3535 Market St Ste 3032, Philadelphia, PA 19104-3313 | 2020-11-02 |
| 1376159780 | Kristi Corcoran | Psychologist | 212 Catharine St Apt 5, Philadelphia, PA 19147-3398 | 2020-09-21 |
| 1033723317 | Casey Joan Zampella | Psychologist | 2716 South St Ofc 5322, Philadelphia, PA 19146-2305 | 2020-09-03 |
| 1265053755 | Shirley Brown | Psychologist | 210 W Rittenhouse Sq Ste 404, Philadelphia, PA 19103-5771 | 2020-05-06 |
| 1518507912 | Tamara Christine Hill | Psychologist | 245 Cherry St Apt 3f, Philadelphia, PA 19106-1991 | 2020-01-14 |
| 1023658168 | Susan Schack Kelly | Psychologist | 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 | 2020-01-07 |
| 1265070379 | Jeannine Cicco Barker | Psychologist | 100 S Broad St Ste 915, Philadelphia, PA 19110-1016 | 2019-12-19 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1235790007 | Stephanie Manasse | Psychologist | 3201 Chestnut St, Philadelphia, PA 19104-3370 | 2019-06-24 |
| 1003376690 | Margaux Desjardins | Psychologist | 2200 Saint James Pl, Philadelphia, PA 19103-5502 | 2019-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19110 |
Please comment or provide details below to improve the information on DR. DAVID BROMBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.