Individual provider Active NPI

Charlene A Bramble, M.D.

  • Obstetrics & Gynecology Physician
  • Sewell, NJ
National Provider Identifier
1528048907
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA04522400 Issued in NJ
Practice address
405 Hurffville Crosskeys Rd
Suite 202
Sewell, NJ 08080-9340
Phone
(856) 589-1414
Fax
(856) 256-5772
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA04522400 NJ Primary

Addresses

Primary practice location

405 Hurffville Crosskeys Rd
Suite 202
Sewell, NJ 08080-9340

Mailing address

405 Hurffville Crosskeys Rd
Suite 202
Sewell, NJ 08080-9340
Phone (856) 589-1414

Other identifiers 1

IdentifierTypeStateIssuer
3643506MedicaidNJ

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1528048907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HURFFVILLE CROSSKEYS RD",
            "address_2": "SUITE 202",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809340",
            "telephone_number": "856-589-1414",
            "fax_number": "856-256-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HURFFVILLE CROSSKEYS RD",
            "address_2": "SUITE 202",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809340",
            "telephone_number": "856-589-1414",
            "fax_number": "856-256-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMBLE",
        "first_name": "CHARLENE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA04522400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3643506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.