=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689788796
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RONALD STEVEN BRAMSON DPM, PA
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2006
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3202 RAMBLEWOOD DRIVE NORTH
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34237
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-980-3056
-----------------------------------------------------
Fax | 301-980-3056
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3202 RAMBLEWOOD DR N
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34237-3812
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-980-3056
-----------------------------------------------------
Fax | 866-248-2148
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | PO1156
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number | PO1156
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------