Active NPI
Tracy Wertheimer Bramble, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Glen Burnie, MD
National Provider Identifier
1760443501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 01347
- Practice address
- 1412 Crain Hwy N
Ste 1a
Glen Burnie, MD 21061-9306 - Phone
- (410) 760-3999
- Fax
- (410) 760-3077
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 01347 | MD | Primary |
Addresses
Primary practice location
1412 Crain Hwy N
Ste 1a
Glen Burnie, MD 21061-9306
Mailing address
461 Pembrooke Blvd
Baltimore, MD 21224-1909
Phone (410) 760-3999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409549900 | Medicaid | MD |
Other names 1
- Dr. Tracy Ann Wertheimer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arundel Foot & Ankle Surgery Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- tbramble20480@direct.umm.edu
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Glen Burnie, MD
- NPI 1972730729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760443501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 PEMBROOKE BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212241909",
"telephone_number": "410-760-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 CRAIN HWY N",
"address_2": "STE 1A",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210619306",
"telephone_number": "410-760-3999",
"fax_number": "410-760-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAMBLE",
"first_name": "TRACY",
"middle_name": "WERTHEIMER",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "01347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409549900",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "WERTHEIMER",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "D.P.M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.