Robert E Dulberg

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PED15 Issued in FL

Practice address

800 E Hallandale Beach Blvd
Suite 23
Hallandale Beach, FL 33009-4477

Phone

(954) 457-1202

NPI assigned

Aug 16, 2006

Last updated

Dec 3, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Custom Comfort Shoes Inc

  • Prosthetic/Orthotic Supplier
  • Hallandale Beach, FL
  • NPI 1841402377
  NPD (past) Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1447363494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 23",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094477",
            "telephone_number": "954-457-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 23",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094477",
            "telephone_number": "954-457-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULBERG",
        "first_name": "ROBERT",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PED15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "M1031",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Frankel DDS PA
• Drawn to You Mobile Phlebotomy Services
• Drim Inc (Center for Communication Disorders)
• DS Dental Care LLC
• Paulette Duhaney, DMFT
• Maudeline Dunham
• E & G Pediatric Dentistry PA (Sea & Smiles Pediatric Dentistry)
• Laura Echeverria, DDS
• Joseph Edelkopf
• Lori Eduartez, ARNP

• Durable Medical Equipment & Medical Supplies in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.