Organization Active NPI

Arundel Foot & Ankle Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Glen Burnie, MD
National Provider Identifier
1841486768
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01347 Issued in MD
Legal business name
ARUNDEL FOOT & ANKLE GROUP, LLC
Practice address
1412 Crain Hwy N
Ste 1a
Glen Burnie, MD 21061-9306
Phone
(410) 760-3999
Fax
(410) 760-3077
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Dr. Tracy Wertheimer Bramble, D.P.M.
Title
Podiatrist
Phone
(410) 760-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 01347 MD Primary

Addresses

Primary practice location

1412 Crain Hwy N
Ste 1a
Glen Burnie, MD 21061-9306

Mailing address

1412 Crain Hwy N
Ste 1a
Glen Burnie, MD 21061-9306
Phone (410) 760-3999

Other identifiers 3

IdentifierTypeStateIssuer
452008400MedicaidMD
405630200MedicaidMD
409549900MedicaidMD

National Provider Directory

National Provider Directory

Locations

1414 Crain Hwy N
Ste 5A
Glen Burnie, MD 21061
Phone (410) 523-5898

1412 Crain Hwy N
Ste 1A
Glen Burnie, MD 21061
Phone (410) 321-8684

17401 Norwood Rd
Sandy Spring, MD 20860
Phone (301) 924-4900

Practitioners & affiliated clinicians

Practitioners 1

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1841486768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "ARUNDEL FOOT & ANKLE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "BRAMBLE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "WERTHEIMER",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "410-760-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "452008400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405630200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409549900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 23, 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.