DR. DAVID BROMBERG (NPI# 1205830833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205830833 |
| Entity Type | Individual |
| Full Name | DR. DAVID BROMBERG |
| Credential | M.D. |
| Practice Address |
1475 Taney Ave Ste 201 Frederick MD 21702-5126 |
| Practice Telephone | 3016620133 |
| Practice Fax Number | 3016958604 |
| Mailing Telephone | 3016620133 |
| Mailing Fax Number | 3016958604 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2010-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
D0017851 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 312321900 | 05 |
| 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 |
| 1164684718 | David Bromberg | Psychologist | 100 S Broad St, Suite 1700, Philadelphia, PA 19110-1023 | 2008-06-25 |
| Street Address |
1475 TANEY AVE STE 201 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971389 | Paul Feinberg | Pediatrics | 1475 Taney Ave, Ste 201, Frederick, MD 21702-5126 | 2005-06-09 |
| 1891236279 | Vanessa Senatus | Counselor | 1475 Taney Ave, Suite 101, Frederick, MD 21702-4747 | 2017-03-17 |
| 1043757156 | Tina Thomas | Nurse Practitioner | 1475 Taney Ave, Frederick, MD 21702-4747 | 2017-01-26 |
| 1588110795 | Mallory Elizabeth Morris Stanislawczyk | Nurse Practitioner | 1475 Taney Ave, Suite 105, Frederick, MD 21702-4747 | 2016-08-28 |
| 1992155428 | Cara Becker | Nurse Practitioner | 1475 Taney Ave, Suite 201, Frederick, MD 21702-4747 | 2016-06-15 |
| 1073901906 | Lindsay Ward | Nurse Practitioner | 1475 Taney Ave, Suite 201, Frederick, MD 21702-4747 | 2014-12-30 |
| 1730596487 | Kathryn Harris | Nurse Practitioner | 1475 Taney Ave, Suite 201, Frederick, MD 21702-4747 | 2014-07-15 |
| 1750798401 | Erin Benton Picotte | Nurse Practitioner | 1475 Taney Ave, Suite 201, Frederick, MD 21702-4747 | 2014-07-15 |
| 1346673415 | Joanna Nicole Greisler | Nurse Practitioner | 1475 Taney Ave, Frederick, MD 21702-4747 | 2013-08-13 |
| 1003250036 | Joyce J Ghiorzi | Pediatrics | 1475 Taney Ave, Suite 201, Frederick, MD 21702-4747 | 2013-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141256 | Jennifer L Burns | Pediatrics | 3534 Urbana Pike Ste A, Frederick, MD 21704-7786 | 2005-08-18 |
| 1619971389 | Paul Feinberg | Pediatrics | 1475 Taney Ave, Ste 201, Frederick, MD 21702-5126 | 2005-06-09 |
| 1346218476 | Steven J. Alcuri | Pediatrics | 198 Thomas Johnson Dr, Suite 14, Frederick, MD 21702-4398 | 2006-03-14 |
| 1356333173 | Patricia Steigerwald-mullen | Pediatrics | 1475 Taney Ave, Suite201, Frederick, MD 21702-4747 | 2005-08-18 |
| 1043202617 | Susan J Chaitovitz I | Pediatrics | 1475 Taney Ave, Suite 201, Frederick, MD 21702-4747 | 2005-08-18 |
| 1124020714 | Colleen C Cagle | Pediatrics | 1475 Taney Ave, Suite 201, Frederick, MD 21702-4747 | 2005-08-12 |
| 1629079355 | Lisa K Rakowski | Pediatrics | 1475 Taney Ave, Suite 201, Frederick, MD 21702-4747 | 2005-08-03 |
| 1932107836 | Nima Hendi | Pediatrics | 1475 Taney Ave, Suite 201, Frederick, MD 21702-4747 | 2005-07-13 |
| 1467458968 | Eileen D Ebert II | Pediatrics | 1475 Taney Ave, Ste 201, Frederick, MD 21702-5126 | 2005-06-21 |
| 1629074133 | Jana S Hash | Pediatrics | 1475 Taney Ave, Ste 201, Frederick, MD 21702-5126 | 2005-06-21 |
| Find all providers in FREDERICK | ||||
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| 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.