Individual provider Active NPI

Ronald B Feldman, D.C.

  • Sports Physician Chiropractor
  • Tamarac, FL
National Provider Identifier
1003877556
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH0003988 Issued in FL
Practice address
8287 N Pine Island Rd
Tamarac, FL 33321-1541
Phone
(954) 722-6637
Fax
(954) 720-6298
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CH0003988 FL Primary

Addresses

Primary practice location

8287 N Pine Island Rd
Tamarac, FL 33321-1541

Mailing address

8287 N Pine Island Rd
Tamarac, FL 33321-1541
Phone (954) 722-6637

Other identifiers 1

IdentifierTypeStateIssuer
380109800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0003988FLMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Asha Wellness LLC PastSince Jul 24, 2022 Accepting new patients
Tamarac Physicians Group Inc PastSince Jan 1, 2001 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1003877556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8287 N PINE ISLAND RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211541",
            "telephone_number": "954-722-6637",
            "fax_number": "954-720-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8287 N PINE ISLAND RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211541",
            "telephone_number": "954-722-6637",
            "fax_number": "954-720-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "RONALD",
        "middle_name": "B",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH0003988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380109800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.