Derek Carl Bronson (NPI# 1962932343, PAC ID# 9436415700) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1962932343 |
| PAC ID by PECOS | 9436415700 |
| Professional Enrollment ID | I20171102002998 |
| Full Name | Derek Carl Bronson |
| Organization Legal Name | PINON HILLS EAR NOSE AND THROAT ASSOCIATES PA |
| Address |
2300 E 30th St Bldg D 102 Farmington NM 87401-8990 |
| Phone Number | 5053274429 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8527080175 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320005 | SAN JUAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2300 E 30th St, Bldg D 102, Farmington, NM 87401-8990 | 5053274429 | PINON HILLS EAR NOSE AND THROAT ASSOCIATES PA |
| Organization Legal Name | PINON HILLS EAR NOSE AND THROAT ASSOCIATES PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lee Wilkey | Otolaryngology | Pinon Hills Ear Nose and Throat Associates Pa | 2300 E 30th St, Bldg D 102, Farmington, NM 87401-8990 |
| Brett M Clarke | Otolaryngology | Pinon Hills Ear Nose and Throat Associates Pa | 2300 E 30th St, Bldg D 102, Farmington, NM 87401-8990 |
| Street Address |
2300 E 30TH ST BLDG D 102 |
| City | FARMINGTON |
| State | NM |
| Zip | 87401-8990 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lee Wilkey | Otolaryngology | Pinon Hills Ear Nose and Throat Associates Pa | 2300 E 30th St, Bldg D 102, Farmington, NM 87401-8990 |
| Sean Faherty | Family Medicine | Pinon Family Practice PC | 2300 E 30th St, Bldg C 2, Farmington, NM 87401-8990 |
| Julie A Schaefer | Physician Assistant | Pinon Family Practice PC | 2300 E 30th St, Bldg C 2, Farmington, NM 87401-8990 |
| R Stephen Rankin | Pediatric Medicine | Pinon Family Practice PC | 2300 E 30th St, Bldg C 2, Farmington, NM 87401-8990 |
| Scott D Allen | Ophthalmology | 2300 E 30th St, Suite 105, Farmington, NM 87401-8990 | |
| David B Homer | Family Medicine | Pinon Family Practice PC | 2300 E 30th St, Bldg C 2, Farmington, NM 87401-8990 |
| Diandra C Becenti | Physician Assistant | Orthopedic Associates Pa | 2300 E 30th St, Bldg D Suite 101, Farmington, NM 87401-8990 |
| Mathew Theron Southwick | Physician Assistant | Orthopedic Associates Pa | 2300 E 30th St, Bldg D Suite 101, Farmington, NM 87401-8990 |
| Dresden H P Beier | Podiatry | Orthopedic Associates Pa | 2300 E 30th St, Bldg D Suite 101, Farmington, NM 87401-8990 |
| Adam Crandall Johnson | Orthopedic Surgery | Orthopedic Associates Pa | 2300 E 30th St, Bldg D Suite 101, Farmington, NM 87401-8990 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise Dorner | Podiatry | Family Foot Health Specialists, P.C. | 4801 N Butler, Suite 14102, Farmington, NM 87401-0815 |
| Edmund W Mcnally | Physician Assistant | Genesis Physician Associates LLC | 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 |
| Swayzee Lei Ramage | Nurse Practitioner | Genesis Physician Associates LLC | 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 |
| Erica L Sussex-grant | Chiropractic | Sussex Chiropractic Pa | 4740 N Butler Ave, Farmington, NM 87401-0826 |
| Randall M Sussex | Chiropractic | Sussex Chiropractic Pa | 4740 N Butler Ave, Farmington, NM 87401-0826 |
| Allen W Mcculloch | Urology | 2300 E, 30th Bldg B Suite 106, Farmington, NM 87401-1529 | |
| James F Burpee | Urology | Adult and Pediatric Urology, LLC | 2300 E, Farmington, NM 87401-1529 |
| Brenna Camille Price | Speech Language Pathologist | 3001 Northridge Dr, Suite C., Farmington, NM 87401-2084 | |
| Mark A Braunstein | Psychiatry | San Juan Health and Wellness Center LLC | 1009 Ridgeway Pl, Suite 100, Farmington, NM 87401-2092 |
| Eva Jean Morales | Clinical Social Worker | San Juan Health and Wellness Center LLC | 1009 Ridgeway Pl, Suite 100, Farmington, NM 87401-2092 |
| Find all physicians in zip 87401 | |||
| City | FARMINGTON |
| Zip Code | 87401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FARMINGTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Derek Carl Bronson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.