FREDRICK HOWARD BRONSON


Address: 13 Cherokee Cir, 102, Madison, WI 53704-8480
Phone: 6084676766

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 14964 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DEA AB4058536 01

Office Location

Street Address 13 CHEROKEE CIR
102
City MADISON
State WI
Zip Code 53704-8480

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MADISON
Zip Code 53704

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Dataset Information

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.

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