Healthcare Provider Details

I. General information

NPI: 1952235830
Provider Name (Legal Business Name): ASHEVILLE RHEUMATOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 SW 73RD AVE
MIAMI FL
33144-2635
US

IV. Provider business mailing address

715 SW 73RD AVE
MIAMI FL
33144-2635
US

V. Phone/Fax

Practice location:
  • Phone: 305-250-9998
  • Fax: 305-250-9975
Mailing address:
  • Phone: 305-250-9998
  • Fax: 305-250-9975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: REUVEN BROMBERG
Title or Position: MEMBER
Credential: MD
Phone: 201-401-5665