Organization Active NPI

Bruno a. Chumpitazi M.D. P.C.

  • Obstetrics & Gynecology Physician
  • Silver Spring, MD
National Provider Identifier
1740625920
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0020704 Issued in MD
Legal business name
BRUNO A. CHUMPITAZI M.D. P.C.
Practice address
11031 Lockwood Dr
Silver Spring, MD 20901-4532
Phone
(301) 593-7136
Fax
(301) 593-4941
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. Bruno Abilio Chumpitazi, M.D.NPI 1174523567
Title
Corporate President
Phone
(301) 593-7136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X D0020704 MD Primary

Addresses

Primary practice location

11031 Lockwood Dr
Silver Spring, MD 20901-4532

Mailing address

11031 Lockwood Dr
Silver Spring, MD 20901-4532
Phone (301) 593-7136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040715000604 DC Part B Supplier - Clinic/Group Practice 2961481726 Receives reassigned benefits from 2 practitioners
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1740625920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11031 LOCKWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014532",
            "telephone_number": "301-593-7136",
            "fax_number": "301-593-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11031 LOCKWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014532",
            "telephone_number": "301-593-7136",
            "fax_number": "301-593-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNO A. CHUMPITAZI M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "CHUMPITAZI",
        "authorized_official_first_name": "BRUNO",
        "authorized_official_middle_name": "ABILIO",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "301-593-7136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0020704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.