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JORDAN M BROMBERG M.D.
NPI 1275518391
Internal Medicine - Geriatric Medicine in Port St Lucie, FL

Active since December 13, 2005
1095 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986(772) 223-5665(772) 223-5646 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan M Bromberg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN M BROMBERG M.D. (NPI 1275518391) is an individual geriatric medicine provider in Port St Lucie, Florida, licensed in Florida (ME0045084) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1275518391
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameJORDAN M BROMBERGCredential: M.D.
Location Address1095 NW SAINT LUCIE WEST BLVDPort St Lucie, FL 34986-1719
Mailing AddressPo Box 417Stuart, FL 34995-0417 · (772) 223-5665 · Fax (772) 223-5646
Phone(772) 223-5665
Fax(772) 223-5646
Sole ProprietorNo
Enumeration DateDecember 13, 2005
Last NPPES UpdateOctober 9, 2020
NPPES CertifiedOctober 9, 2020
✔ NPI 1275518391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in FL · ME0045084
Definition
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.
1095 NW SAINT LUCIE WEST BLVD, Port St Lucie, FL 34986
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Other Identifiers 1

Medicaid056427300FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE KULP D.O.
Pediatrics
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 785-5502
TURTLE RUN EMERGENCY PHYSICIANS LLC
Emergency Medicine
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 785-5500
DR. MEL TIMTIMAN LIZASO MD
Radiology (Radiation Oncology)
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 288-5890
VIEN T LE M.D.
Internal Medicine
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 785-5511
ANGELICA ITALIANO DO
Internal Medicine
1095 NW SAINT LUCIE WEST BLVD
PORT SAINT LUCIE, FL 34986
St. Lucie County (800) 826-6737
DR. JENNY BEREZANSKAYA D.O.
Family Medicine
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 785-5511
PAUL YOSMIN CASANOVA-ROMERO M.D., M.P.H.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 785-5581
PETER S ZEBLISKY D.O.
Internal Medicine
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 785-5511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Bromberg's NPI number?

The NPI number for Jordan Bromberg is 1275518391. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Jordan Bromberg located?

Jordan Bromberg practices at 1095 NW Saint Lucie West Blvd, Port St Lucie, FL 34986. The listed phone number is (772) 223-5665.

What is Jordan Bromberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Jordan Bromberg was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.