JESICA BROMBERG SHIENBAUM MD NPI 1073706107

NPI Information

  • NPI: 1073706107
  • Provider Name: JESICA BROMBERG SHIENBAUM, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4100 HOLLYWOOD BLVD
    2ND FLOOR
    HOLLYWOOD, FL
    ZIP 33021
  • Phone: (954) 518-4100

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NPI Details

Jesica Bromberg Shienbaum, MD is an obstetrics gynecology in Hollywood, FL with 19 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Jesica Bromberg Shienbaum, MD NPI is 1073706107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

4100 HOLLYWOOD BLVD
2ND FLOOR
HOLLYWOOD, FL
ZIP 33021-778
Phone: (954) 518-4100

The NPI 1073706107 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2007 and was last updated on 9/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyMT190080PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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