Active NPI
Richard James Brostrom, MD MSPH
- Family Medicine Physician
- Saipan, MP
National Provider Identifier
1851426324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MP-0192
- Practice address
- Commonwealth Health Center
1 Lower Mary Hill Road
Saipan, MP 96950 - Phone
- (670) 234-8950
- Fax
- (670) 236-8700
- NPI assigned
- Feb 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MP-0192 | MP | Primary |
Addresses
Primary practice location
Commonwealth Health Center
1 Lower Mary Hill Road
Saipan, MP 96950
Mailing address
PO Box 10001
PMB 631
Saipan, MP 96950
Phone (670) 322-3773
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MP-0192 | MP | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851426324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10001",
"address_2": "PMB 631",
"city": "SAIPAN",
"state": "MP",
"postal_code": "96950",
"telephone_number": "670-322-3773",
"fax_number": "670-236-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMMONWEALTH HEALTH CENTER",
"address_2": "1 LOWER MARY HILL ROAD",
"city": "SAIPAN",
"state": "MP",
"postal_code": "96950",
"telephone_number": "670-234-8950",
"fax_number": "670-236-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSTROM",
"first_name": "RICHARD",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD MSPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MP",
"license": "MP-0192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saipan, MP
- Brabu Pharmacy and Wellness Center LLC (Brabu Pharmacy Kagman)
- Florian Gustav Adolf Braig, MD
- Adrian Charles Brenn, PH.D.
- Shawna Brennfleck, NP-C
- Bright Horizons, LLC (Harvest Health Services)
- Daisy Buduan, RPH
- Christopher Gabredo Cabrera, MA, COUNSELING
- Adam Lee Cafege, PHARMD
- Amanda Calixto, M.S, SLP-CCC
- Bertha Peters Camacho, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.