Individual provider Active NPI

Wendy Rumble Vanbronkhorst, M.D.

  • Pediatrics Physician
  • Germantown, MD
National Provider Identifier
1992816938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0063345 Issued in MD
Practice address
19803 Executive Park Cir
Germantown, MD 20874-2649
Phone
(301) 540-7496
Fax
(301) 540-0772
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0063345 MD Primary
Pediatrics Physician 208000000X 0101232679 VA

Addresses

Primary practice location

19803 Executive Park Cir
Germantown, MD 20874-2649

Mailing address

862 Bayridge Dr
Gaithersburg, MD 20878-1948
Phone (301) 963-3721

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

LicenseStateTypeSpecialty
D0063345MDMDPediatrics Physician
0101232679VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Inova Health Care Services PastSince Jan 1, 1990 Accepting new patients
Smita P. Mengers, MD Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wendy.vanbronkhorst@swmd.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992816938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 BAYRIDGE DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781948",
            "telephone_number": "301-963-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19803 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742649",
            "telephone_number": "301-540-7496",
            "fax_number": "301-540-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBRONKHORST",
        "first_name": "WENDY",
        "middle_name": "RUMBLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0063345",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101232679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

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.

Verify at the official NPI Registry.