NPIMap

Organization Active NPI

Dr. Edward Bromberg

  • Specialist
  • Gardendale, AL
National Provider Identifier
1861656654
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6794 Issued in AL
Legal business name
DR. EDWARD BROMBERG
Practice address
1413 Thompson Cir
Suite a
Gardendale, AL 35071-2953
Phone
(205) 631-8887
Fax
(205) 631-9126
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Dr. Edward Bromberg, M.D.
Title
Orthopedic Surgeon
Phone
(205) 631-8887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 6794 AL Primary

Addresses

Primary practice location

1413 Thompson Cir
Suite a
Gardendale, AL 35071-2953

Mailing address

1413 Thompson Cir
Suite a
Gardendale, AL 35071-2953
Phone (205) 631-8887

Other identifiers 1

IdentifierTypeStateIssuer
529908870MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1861656654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 THOMPSON CIR",
            "address_2": "SUITE A",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712953",
            "telephone_number": "205-631-8887",
            "fax_number": "205-631-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 THOMPSON CIR",
            "address_2": "SUITE A",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712953",
            "telephone_number": "205-631-8887",
            "fax_number": "205-631-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDWARD BROMBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "BROMBERG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "205-631-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "6794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529908870",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.