Active NPI
Ronald B Feldman, D.C.
- Sports Physician Chiropractor
- Tamarac, FL
National Provider Identifier
1003877556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH0003988
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380109800 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH0003988 | FL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asha Wellness LLC | Past | Accepting new patients | |
| Tamarac Physicians Group Inc | Past | 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.
-
- Chiropractor
- Tamarac, FL
- NPI 1780887760
-
- Physical Therapy Clinic/Center
- Tamarac, FL
- NPI 1548790108
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.