Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | D28893 | MD |
NPI | 1003850298 |
---|---|
Provider Name | Robert J Brumback |
First Address | Baltimore, MD 21218 |
Second Address | Baltimore, MD 21218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 23/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30513003 | BCBS (01) | MD |
87637 | (05) | MD |
903A | CFBCBS MD (01) | MD |
B70191 | (02) | |
J848 | CFBCBS DC (01) | DC |