John Bronsell Ryan Bronsell, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

P7445 Issued in ID

Practice address

427 12TH St
Plummer, ID 83851-4000

Phone

(208) 686-1931

Fax

(208) 686-3311

NPI assigned

Apr 16, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1043873995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 12TH ST",
            "city": "PLUMMER",
            "state": "ID",
            "postal_code": "838514000",
            "telephone_number": "208-686-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 12TH ST",
            "city": "PLUMMER",
            "state": "ID",
            "postal_code": "838514000",
            "telephone_number": "208-686-1931",
            "fax_number": "208-686-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSELL",
        "first_name": "JOHN BRONSELL",
        "middle_name": "RYAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "ID",
            "license": "P7445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benewah Medical Center
• Benewah Medical Center
• Kellie Renee Bergendahl, RDH
• Selene Bonnell-Hall
• Cathleen Constance Bourque, RDH
• Meche Grace Brownlow, MAED, LPC
• Janet Butcher, RPT
• Austen Reis Cardoza, PA-C
• Ginger Caroline Carpenter, RN MSN
• Jason Ford Chapman, M.D.

• Ambulatory Care Pharmacist in Plummer, ID
• Providers in Plummer, ID by specialty
• Ambulatory Care Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.