Organization Active NPI

Marshall J. Brumer, MD, PA

  • Pulmonary Disease Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1639478571
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
MARSHALL J. BRUMER, MD, PA
Practice address
3001 NW 49TH Ave
Suite 307
Lauderdale Lakes, FL 33313-7266
Phone
(954) 484-8990
Fax
(954) 739-3732
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Mr. William Kelly Taylor, CMM
Title
Administrator
Phone
(954) 484-8990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

3001 NW 49TH Ave
Suite 307
Lauderdale Lakes, FL 33313-7266

Mailing address

3001 NW 49TH Ave
Suite 307
Lauderdale Lakes, FL 33313-7266
Phone (954) 484-8990

Other names 1

  • Marshall J Brumer MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1639478571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE",
            "address_2": "SUITE 307",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137266",
            "telephone_number": "954-484-8990",
            "fax_number": "954-739-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE",
            "address_2": "SUITE 307",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137266",
            "telephone_number": "954-484-8990",
            "fax_number": "954-739-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL J. BRUMER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-484-8990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall J Brumer MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.