Wanda Bronstein, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2693 Issued in CT

Practice address

1000 Asylum Ave Ste 3212
Hartford, CT 06105-1702

Phone

(860) 522-1171

Fax

(860) 493-6524

NPI assigned

Dec 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Yale University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology LLCGroup PAC ID 5092706945, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: wbronstein@gastroct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Dermatology LLC

  • Dermatology Physician
  • Norwich, CT
  • NPI 1609892298
  Medicare reassignment Care Compare group
• Connecticut Gastroenterology Assoc PC

  • Gastroenterology Physician
  • Hartford, CT
  • NPI 1700917523
  Medicare reassignment
• Trinity Health of New England Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Bloomfield, CT
  • NPI 1447867452
  Medicare reassignment
• Metrolina Dermatology and Skin Surgery Specialists, PLLC

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1619400033
  NPD (past)
• Southern Dermatology, P.a.

  • Specialist
  • Raleigh, NC
  • NPI 1568415586
  NPD (past)

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1053689489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE STE 3212",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051702",
            "telephone_number": "860-522-1711",
            "fax_number": "860-493-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE STE 3212",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051702",
            "telephone_number": "860-522-1171",
            "fax_number": "860-493-6524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Internal Medicine of Greater New Haven",
            "address_2": "1952 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "06517",
            "country_code": "US",
            "telephone_number": "203-848-1803",
            "fax_number": "203-848-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRONSTEIN",
        "first_name": "WANDA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "2693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WBRONSTEIN@GASTROCT.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 Asylum Ave Ste 3212",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061051702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Juan Daniel Brito, LCSW
• Kathleen Britting, APRN
• Jennifer L Broess, D.O.
• Mary Bromage, LCSW
• Kimberly Bronson, MA
• Brittney A Brooks
• Carla Verlaine Brooks
• Erin T Brooks, MD
• Gail Brooks, LCSW
• Garrett Andrew Brooks, MD

• Physician Assistant in Hartford, CT
• Providers in Hartford, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.