Adele Bronkhorst, BCHD, MDENT (ORTHO)

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DL11164 Issued in MA

Practice address

300 Longwood Ave # Hu-226
Boston, MA 02115-5724

Phone

(857) 218-5540

Fax

(617) 730-0478

NPI assigned

Nov 8, 2010

Last updated

Nov 8, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1073814091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE # HU-226",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "857-218-5540",
            "fax_number": "617-730-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE # HU-226",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "857-218-5540",
            "fax_number": "617-730-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONKHORST",
        "first_name": "ADELE",
        "name_prefix": "Dr.",
        "credential": "BCHD, MDENT (ORTHO)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DL11164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200445",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Briana Bromfield, M.D.
• Kira Anne Bromwich, MD
• Elisa T Bronfman, PHD
• Shelby Bronfman
• Matthew Steven Bronheim, LCSW
• Isaac Bronson, MD
• Tammy Bronstein, BCBA
• Andrew David Brook, MD
• Christopher D Brook, M.D.
• Karolina Brook, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.