JONATHAN BROMBERG (MD) – Transplant Surgery Physician, NPI 1497721294

JONATHAN BROMBERG (MD) is a healthcare provider. based in Baltimore, Maryland. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 213609 (NY). The NPI Number for JONATHAN BROMBERG (MD) is 1497721294

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN BROMBERG (MD)
NPI
1497721294
Phone
(410) 328-5408
Address
16 S EUTAW ST FL 1
Enumeration Date
23 February 2006
Last Update Date
13 February 2019

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
4103285300
Graduation Year
1983 (43 years ago)
PAC ID
9335237874
Group Practice PAC ID
1658262472
Professional Enrollment ID
I20110110000513
Address ID
MD212011734BA419XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

827 GENERAL SURGERY in MD

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Provider Addresses for JONATHAN BROMBERG (MD)

  • South Eutaw Street, Ridgely's Delight, Baltimore, Maryland, 21201, United States

    BALTIMORE, MD 212011606

    Phone: (410) 328-5408

    Type: Location

  • PO BOX 64226

    BALTIMORE, MD 212644226

    Phone: (410) 328-0008

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $12,695.

Total Amount is formed as General ($12,695) + Research ($0) + Ownership ($0) = $12,695.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: PFIZER INC. ($12,679).

Total Amount

$12,695

General + Research + Ownership

Payments

4

Total payment records

General Amount

$12,695

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$12,679
Merck Sharp & Dohme LLC$16
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110110000513IGeneral SurgeryMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes22267$0
View full utilization report →

Insurance plans in this area (ZIP 21201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658262472View full group profile
NameSpecialtyState
Plastic And Reconstructive Surgery, General SurgeryMD
Thoracic Surgery, General SurgeryMD
General SurgeryMD
Urology, General SurgeryMD
-MD
U R O L O G YMD
Nurse PractitionerMD
General Surgery, Surgical OncologyMD
Plastic And Reconstructive SurgeryMD
Cardiac SurgeryMD

Reviews

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Frequently asked questions

How do payers reference JONATHAN BROMBERG (MD)?
For JONATHAN BROMBERG (MD), use NPI 1497721294 as the unique 10-digit identifier.
Would JONATHAN BROMBERG (MD) appear as active to a payer?
You can treat JONATHAN BROMBERG (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JONATHAN BROMBERG (MD)'s focus?
For JONATHAN BROMBERG (MD), the primary taxonomy reads as Transplant Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JONATHAN BROMBERG (MD)?
Directory geography for JONATHAN BROMBERG (MD) centers on Baltimore, Maryland.
When was this NPI issued?
Enumeration for JONATHAN BROMBERG (MD) is noted as February 23, 2006 where the registry provides it.