NPIMap

Organization Active NPI

Robert B. Bronfman

  • Podiatrist
  • Herndon, VA
National Provider Identifier
1003080045
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103000645 Issued in VA
Legal business name
ROBERT B. BRONFMAN
Practice address
112 Elden Street
Suite D
Herndon, VA 20170-4832
Phone
(703) 437-5353
Fax
(703) 437-6941
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert B Bronfman, DPM
Title
Podiatrist
Phone
(703) 437-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0103000645 VA Primary

Addresses

Primary practice location

112 Elden Street
Suite D
Herndon, VA 20170-4832

Mailing address

112 Elden Street
Ste D
Herndon, VA 20170-4832
Phone (703) 437-5353

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1003080045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ELDEN STREET",
            "address_2": "STE D",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704832",
            "telephone_number": "703-437-5353",
            "fax_number": "703-437-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ELDEN STREET",
            "address_2": "SUITE D",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704832",
            "telephone_number": "703-437-5353",
            "fax_number": "703-437-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B. BRONFMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "BRONFMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "703-437-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.