Organization Active NPI

Lester J. Groverman,M.D.&Robert J. Braunfeld,D.O.Associates,P.a.

  • Family Medicine Physician
  • Broomall, PA
National Provider Identifier
1417060922
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jun 1, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
135920OtherPAMEDICARE RR
0005387OtherPAAETNA
0032084001OtherPAIBC PRODUCTS
0032084001OtherPAKEYSTONE
0008557190006MedicaidPA
135920OtherPAPA BLUE SHIELD
30025952OtherPAKEYSTONE MERCY

Other names 1

  • Delaware County Family Practice Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.