FREDRICK HOWARD BRONSON (NPI# 1710207923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710207923 |
Entity Type | Individual |
Full Name | FREDRICK HOWARD BRONSON |
Credential | M.D. |
Practice Address |
13 Cherokee Cir 102 Madison WI 53704-8480 |
Mailing Address |
13 Cherokee Circle 102 Madison WI 53704-8481 |
Practice Telephone | 6084676766 |
Mailing Telephone | 6084676766 |
Enumeration Date | 2010-06-10 |
Last Update Date | 2010-06-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 14964 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA | AB4058536 | 01 |
Street Address |
13 CHEROKEE CIR 102 |
City | MADISON |
State | WI |
Zip Code | 53704-8480 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
Find all providers in zip 53704 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760946628 | Amie Jabang | General Practice | 534 Aztalan Dr, Madison, WI 53718-3205 | 2019-01-24 |
1255693347 | Robin Louise Chene | General Practice | 530 W Lakeside St, Madison, WI 53715-1728 | 2012-06-13 |
1780941740 | Nemil Ashvin Shah | General Practice | 101 Ivory Pl, Madison, AL 35758-2349 | 2012-04-16 |
1780951095 | Erwin Fredrick Koenig I | General Practice | 825 Charing Cross Rd, Madison, WI 53704-6082 | 2011-11-30 |
1942517164 | Anne Elizabeth Bauer | General Practice | 102 Big Oak Cir, Madison, AL 35758-8324 | 2010-09-09 |
1043351182 | Richard Lee Owens | General Practice | 1920 Monroe St, Madison, WI 53711-2027 | 2007-02-10 |
1184630592 | American Family Care Inc | General Practice | 7559 Hwy 72 W, Madison, AL 35758 | 2006-07-31 |
1174543516 | Karen B Duffy | General Practice | 1210 Briarville Road, Blding B, Madison, TN 37115 | 2006-07-20 |
1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
1487605432 | Luis R Rodriguez | General Practice | 102 Rockhaven Dr Nw, La Estancia, Hacienda San Jose, Madison, AL 35757-6973 | 2006-05-15 |
Find all providers in MADISON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.