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Physician Compare National (NPI:1487856571)

HEALTHCARE PROVIDER: REUVEN BROMBERG MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1487856571
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6608033584
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120203000557
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BROMBERG
Individual professional last name
Provider First Name REUVEN
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2003
Individual professional's medical school graduation year
Primary Specialty RHEUMATOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 PEDIATRIC MEDICINE
Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE, PEDIATRIC MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1330 CORAL WAY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 403
Group Practice or individual's line 2 address
City MIAMI
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 331452945
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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