JORDAN M. BROMBERG M.D. – NPI #1275518391
Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
JORDAN BROMBERG is a physician located in PORT SAINT LUCIE, FL. NPPES has assigned the NPI number 1275518391 to JORDAN BROMBERG on December 13, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine
The NPI profile was previously updated about 6 years ago on Oct 09, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JORDAN BROMBERG below.
NPI Profile for
JORDAN M. BROMBERG
(more than 20 years ago)
PORT SAINT LUCIE, FL 34986-1719 Phone: (772) 223-5665 Fax: (772) 223-5646
STUART, FL 34995-0417 Phone: (772) 223-5665 Fax: (772) 223-5646
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for JORDAN BROMBERG
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | FL | 056427300 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RG0300X - Internal Medicine / Geriatric Medicine (Primary) |
FL | ME0045084 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
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- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- Content Type
- Affiliation
- N
- Endpoint Location
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1095 NW SAINT LUCIE WEST BLVD,
PORT ST LUCIE, FL 77025-1669