Active NPI
Signify Health Medical Associates PLLC
- Nurse Practitioner
- Annapolis, MD
National Provider Identifier
1609680487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- SIGNIFY HEALTH MEDICAL ASSOCIATES PLLC
- Practice address
- 1910 Towne Centre Blvd Ste 250
Annapolis, MD 21401-3599 - Phone
- (877) 868-5351
- Fax
- (877) 900-5078
- NPI assigned
- Feb 3, 2025
- 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
- Robert Shawn Bronke
- Title
- Manager, Provider Enrollment
- Phone
- (469) 466-7424
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
1910 Towne Centre Blvd Ste 250
Annapolis, MD 21401-3599
Mailing address
4055 Valley View LN Ste 700
Dallas, TX 75244-5045
Phone (469) 466-7424
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Bloomington, MN
- NPI 1518709963
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1356395776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764288000000",
"number": "1609680487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 VALLEY VIEW LN STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445045",
"telephone_number": "469-466-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 TOWNE CENTRE BLVD STE 250",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013599",
"telephone_number": "877-868-5351",
"fax_number": "877-900-5078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIGNIFY HEALTH MEDICAL ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-03",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A",
"authorized_official_last_name": "BRONKE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "SHAWN",
"authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "469-466-7424"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.