Active NPI
Lester J. Groverman,M.D.&Robert J. Braunfeld,D.O.Associates,P.a.
- Family Medicine Physician
- Broomall, PA
National Provider Identifier
1417060922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LESTER J. GROVERMAN,M.D.&ROBERT J. BRAUNFELD,D.O.ASSOCIATES,P.A.
- Practice address
- 2000 Sproul Rd Suite 100
Marple Commons
Broomall, PA 19008-2424 - Phone
- (610) 353-3500
- Fax
- (610) 353-2015
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debbie M Harris
- Title
- Office Manager
- Phone
- (610) 353-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2000 Sproul Rd Suite 100
Marple Commons
Broomall, PA 19008-2424
Mailing address
2000 Sproul Rd Suite 100
Marple Commons
Broomall, PA 19008-2424
Phone (610) 353-3500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135920 | Other | PA | MEDICARE RR |
| 0005387 | Other | PA | AETNA |
| 0032084001 | Other | PA | IBC PRODUCTS |
| 0032084001 | Other | PA | KEYSTONE |
| 0008557190006 | Medicaid | PA | |
| 135920 | Other | PA | PA BLUE SHIELD |
| 30025952 | Other | PA | KEYSTONE MERCY |
Other names 1
- Delaware County Family Practice
National Provider Directory
National Provider DirectoryLocations
2000 Sproul Rd
Ste 100
Broomall, PA 19008
Phone (484) 337-5314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243814400000",
"number": "1417060922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 SPROUL RD SUITE 100",
"address_2": "MARPLE COMMONS",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190082424",
"telephone_number": "610-353-3500",
"fax_number": "610-353-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SPROUL RD SUITE 100",
"address_2": "MARPLE COMMONS",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190082424",
"telephone_number": "610-353-3500",
"fax_number": "610-353-2015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESTER J. GROVERMAN,M.D.&ROBERT J. BRAUNFELD,D.O.ASSOCIATES,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2009-06-01",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "610-353-3500",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "135920",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005387",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC PRODUCTS",
"identifier": "0032084001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0032084001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008557190006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "135920",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30025952",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Delaware County Family Practice",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.