NPIMap

Organization Active NPI

Trophogen, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Rockville, MD
National Provider Identifier
1326420589
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D34879 Issued in MD
Legal business name
TROPHOGEN, INC.
Practice address
9714 Medical Center Dr
Suite 1114
Rockville, MD 20850-3773
Phone
(301) 838-1935
Fax
(301) 762-6287
NPI assigned
Jun 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Dr. Bruce Dale Weintraub, M.D.
Title
President, Ceo & Co-Founder
Phone
(301) 838-1935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X D34879 MD Primary

Addresses

Primary practice location

9714 Medical Center Dr
Suite 1114
Rockville, MD 20850-3773

Mailing address

9714 Medical Center Dr
Suite 1114
Rockville, MD 20850-3773
Phone (301) 838-1935

National Provider Directory

National Provider Directory

Locations

9714 Medical Center Dr
Ste 1114
Rockville, MD 20850
Phone (301) 838-1935

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1326420589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9714 MEDICAL CENTER DR",
            "address_2": "SUITE 1114",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503773",
            "telephone_number": "301-838-1935",
            "fax_number": "301-762-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 MEDICAL CENTER DR",
            "address_2": "SUITE 1114",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503773",
            "telephone_number": "301-838-1935",
            "fax_number": "301-762-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROPHOGEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT, CEO & CO-FOUNDER",
        "authorized_official_telephone_number": "301-838-1935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D34879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.