Organization Active NPI

Stanley Brosman Medical Corporation

  • Urology Physician
  • Santa Monica, CA
National Provider Identifier
1740628866
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
STANLEY BROSMAN MEDICAL CORPORATION
Practice address
2021 Santa Monica Blvd
Suite 510
Santa Monica, CA 90404-2219
Phone
(310) 828-8531
NPI assigned
Jun 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Stanley Brosman, MDNPI 1255416335
Title
President
Phone
(310) 828-8531

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X CA Primary

Addresses

Primary practice location

2021 Santa Monica Blvd
Suite 510
Santa Monica, CA 90404-2219

Mailing address

2021 Santa Monica Blvd
Suite 510
Santa Monica, CA 90404-2219
Phone (310) 828-8531

National Provider Directory

National Provider Directory

Locations

2021 Santa Monica Blvd
Ste 510
Santa Monica, CA 90404
Phone (310) 828-8531

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1740628866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE 510",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042219",
            "telephone_number": "310-828-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE 510",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042219",
            "telephone_number": "310-828-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY BROSMAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "BROSMAN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-828-8531",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.