JONATHAN BROMBERG (NPI# 1497721294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497721294 |
| Entity Type | Individual |
| Full Name | JONATHAN BROMBERG |
| Credential | MD |
| Practice Address |
16 S Eutaw St Fl 1 Baltimore MD 21201-1606 |
| Mailing Address |
Po Box 64226 Baltimore MD 21264-4226 |
| Practice Telephone | 4103285408 |
| Mailing Telephone | 4103280008 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | D71017 | MD | Allopathic & Osteopathic Physicians |
| N | 204F00000X | Transplant Surgery | 213609 | NY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 213609 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02094439 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780790360 | Jonathan F Bromberg | Family Medicine | 850 Kempsville Rd, Norfolk, VA 23502-3920 | 2006-08-23 |
| Street Address |
16 S EUTAW ST FL 1 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320359 | Maria Marcela Montenegro | Nurse Practitioner | 16 S Eutaw St Fl 1, Baltimore, MD 21201-1606 | 2017-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891021549 | Soo Youn Yi | Transplant Surgery | 401 W Redwood St, Suite 100, Baltimore, MD 21201-1732 | 2009-10-29 |
| 1033245725 | John C Lamattina | Transplant Surgery | 29 S. Greene St., Ste 200, Univ. of Maryland, Transplant Division, Baltimore, MD 21201-1504 | 2007-02-26 |
| 1649324641 | Jacqueline Mary Garonzik Wang | Transplant Surgery | 720 Rutland Ave # Ross765, Baltimore, MD 21205 | 2007-01-23 |
| 1013978287 | Jayme E Locke | Transplant Surgery | 720 Rutland Ave, Ross Research Building, Room765, Baltimore, MD 21205 | 2006-03-29 |
| 1689217234 | Georgios Vrakas | Transplant Surgery | 29 S Greene St Ste 200, Baltimore, MD 21201-1504 | 2019-10-25 |
| 1912407362 | Raphael Pascal Henri Meier | Transplant Surgery | 419 W Redwood St Ste 300, Baltimore, MD 21201-7003 | 2018-02-12 |
| 1942756911 | Saad Ahmed Malik | Transplant Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2016-08-30 |
| 1497157770 | Charbel Chalouhy | Transplant Surgery | 720 Rutland Ave, Ross 765, Baltimore, MD 21205-2109 | 2014-09-18 |
| 1124262951 | Russell Noel Wesson | Transplant Surgery | 600 N Wolfe St, Ross 771 Johns Hopkins, Baltimore, MD 21287-0005 | 2009-04-23 |
| 1689840837 | Bruce E Jarrell | Transplant Surgery | 655 W Baltimore St, Univ of Maryland School of Medicine, 14-029, Baltimore, MD 21201-1509 | 2008-05-07 |
| Find all providers in BALTIMORE | ||||
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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.