Active NPI
Arundel Foot & Ankle Group, LLC
- Foot & Ankle Surgery Podiatrist
- Glen Burnie, MD
National Provider Identifier
1841486768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 01347
- 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
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) | 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
1412 Crain Hwy N
Ste 1a
Glen Burnie, MD 21061-9306
Phone (410) 760-3999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 452008400 | Medicaid | MD | |
| 405630200 | Medicaid | MD | |
| 409549900 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
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
- Arturo Betancourt, M.D., P.a. (Baltimore Washington Eye Center)
- Arturo Betancourt, M.D., P.a. (Baltimore Washington Eye Center)
- Arturo Betancourt, M.D., P.a. (Baltimore Washington Eye Center)
- Arturo Betancourt, MD, PA (Baltimore Washington Eye Center)
- Arundel Bay Medical PC
- Arundel Foot & Ankle Surgery Center, LLC
- Arundel Heart Associates, PA
- Arundel Medical Group Inc
- Anuoluwapo Samuel Aruwajoye
- Marian Asaad
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.