Active NPI
Stephen Phillip Bromberek
- Clinical Social Worker
- Bethesda, MD
National Provider Identifier
1407049968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34003374A
- Practice address
- NNMC 8901 Rockville Pike
Building 7, Room 6303
Bethesda, MD 20889-0001 - Phone
- (301) 319-8314
- NPI assigned
- Aug 19, 2007
- Last updated
- Aug 21, 2008
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34003374A | IN | Primary |
Addresses
Primary practice location
NNMC 8901 Rockville Pike
Building 7, Room 6303
Bethesda, MD 20889-0001
Mailing address
NNMC 8901 Rockville Pike
Building 7, Room 6303
Bethesda, MD 20889-0001
Phone (301) 319-8314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34003374A | Other | IN | INDIANA HEALTH PROFESSION |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003374A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1407049968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NNMC 8901 ROCKVILLE PIKE",
"address_2": "BUILDING 7, ROOM 6303",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-319-8314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NNMC 8901 ROCKVILLE PIKE",
"address_2": "BUILDING 7, ROOM 6303",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-319-8314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROMBEREK",
"first_name": "STEPHEN",
"middle_name": "PHILLIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-19",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003374A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA HEALTH PROFESSION",
"identifier": "34003374A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.