Active NPI
Philip Bobrowsky
- Registered Dietitian
- Germantown, MD
National Provider Identifier
1114499365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86093256
- Practice address
- 19801 Observation Dr
Germantown, MD 20876-4070 - Phone
- (301) 557-6931
- NPI assigned
- Dec 28, 2018
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86093256 | Primary |
Addresses
Primary practice location
19801 Observation Dr
Germantown, MD 20876-4070
Mailing address
7561 Weather Worn Way Unit a
Columbia, MD 21046-2484
Phone (443) 844-7499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86093256 | Other | ACADEMY OF NUTRITION AND DIETETICS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1114499365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7561 WEATHER WORN WAY UNIT A",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462484",
"telephone_number": "443-844-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19801 OBSERVATION DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764070",
"telephone_number": "301-557-6931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBROWSKY",
"first_name": "PHILIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-28",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86093256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACADEMY OF NUTRITION AND DIETETICS",
"identifier": "86093256",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.