Marshall Jay Brumer, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME0016806 Issued in FL

Practice address

3001 NW 49TH Ave
307
Lauderdale Lakes, FL 33313-7266

Phone

(954) 484-8990

Fax

(954) 739-3732

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Broward Pet Imaging Center LLC

  • Diagnostic Radiology Physician
  • Lauderdale Lakes, FL
  • NPI 1588623904
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1922071141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE",
            "address_2": "307",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-484-8990",
            "fax_number": "954-739-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE",
            "address_2": "307",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137266",
            "telephone_number": "954-484-8990",
            "fax_number": "954-739-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMER",
        "first_name": "MARSHALL",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0016806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054909600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broward Pet Imaging Center LLC
• Broward Rehabilitation Medicine Associates PA
• Ranie-Ann Dominique Brown, CCP
• Bruce a. Perlman, M.D., P.a.
• Liliana Maria Brudasca
• Jan Scott Buchholz, DC
• Maria Elena Buendia
• Timothy H Bulger III, BCBA
• Isaac Burdeinick, APRN
• Salena Burgess, APRN

• Pulmonary Disease Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.