Richard L Bromberg, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME15708 Issued in FL

Practice address

7319 Panache Way
Boca Raton, FL 33433-6940

Phone

(561) 393-9159

NPI assigned

Mar 4, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689703993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 PANACHE WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336940",
            "telephone_number": "561-393-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 PANACHE WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336940",
            "telephone_number": "561-393-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMBERG",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME15708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brodkin Chiropractic and Acupuncture
• Ronald A Brodkin, D.C.
• Craig Michael Brodsky
• Denise Brody, LCSW
• Jordan Elizabeth Brody, MSW, LCSW
• Mark Steven Bromson, M.D.
• Reginee Bautista Bromson, ARNP
• Dianne Byrnes Bronzini, L.C.S.W.
• Brooke Park Clinic (Robert G. Shumaker, Ph.D.)
• Allison Cori Brooks, M.S.

• Family Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.