Active NPI
Virginia Ann Smith-Bronstein, M.D.
- Otolaryngology Physician
- San Rafael, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- C207094
- Practice address
- 899 Northgate Dr Ste 110
San Rafael, CA 94903-3664 - Phone
- (415) 362-5443
- NPI assigned
- Apr 25, 2013
- Last updated
- Feb 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036148473 | IL | |
| Otolaryngology Physician | 207Y00000X | C207094 | CA | Primary |
| Otolaryngology Physician | 207Y00000X | 81253 | MN |
Addresses
Primary practice location
899 Northgate Dr Ste 110
San Rafael, CA 94903-3664
Mailing address
11 Salt Creek LN Ste 101
Hinsdale, IL 60521-3032
Phone (630) 789-3110
Other practice location 1
899 Northgate Dr Ste 110
San Rafael, CA 94903-3664
Phone (415) 362-5443
Other practice location 2
11 Salt Creek Ln Ste 101
Hinsdale, IL 60521-3032
Phone (630) 789-3110
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | virginia.smith-bronstein.1@380.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MN, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
1705 Anne St NW
Bemidji, MN 56601-6151
Phone (218) 333-5000
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C207094 | CA | MD | Otolaryngology Physician |
| 036148473 | IL | MD | Otolaryngology Physician |
| 81253 | MN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Partners,Inc | Current | Accepting new patients | |
| Regents of the University of California - UCSF | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Adventist Health Partners, Inc. | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Past | Accepting new patients |
Locations
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301
11 Salt Creek Ln
Ste 101
Hinsdale, IL 60521
Phone (630) 789-3110
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
Interoperability endpoints
- virginia.smith-bronstein.1@380.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UCSF Clinical Integrated Partners
- Multi-Specialty Clinic/Center
- San Francisco, CA
- NPI 1265890263
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- Multi-Specialty Clinic/Center
- La Grange, IL
- NPI 1932650496
-
dba Glendale Family Practice
- Family Medicine Physician
- Bloomingdale, IL
- NPI 1043255888
-
dba Sanford Health Behavioral Health Administration Office
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bemidji, MN
- NPI 1427567601
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
-
dba Sanford Bagley Clinic
- Rural Health Clinic/Center
- Bagley, MN
- NPI 1972875490
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
-
dba Sanford Bemidji Medical Center
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1093159634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SALT CREEK LN STE 101",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213032",
"telephone_number": "630-789-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 NORTHGATE DR STE 110",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033664",
"telephone_number": "415-362-5443"
}
],
"practiceLocations": [
{
"address_1": "899 Northgate Dr Ste 110",
"address_purpose": "LOCATION",
"city": "San Rafael",
"state": "CA",
"postal_code": "949033664",
"country_code": "US",
"telephone_number": "415-362-5443",
"fax_number": "415-362-5444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 Salt Creek Ln Ste 101",
"address_purpose": "LOCATION",
"city": "Hinsdale",
"state": "IL",
"postal_code": "605213032",
"country_code": "US",
"telephone_number": "630-789-3110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH-BRONSTEIN",
"first_name": "VIRGINIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-25",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036148473",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "C207094",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MN",
"license": "81253",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "virginia.smith-bronstein.1@380.direct.athenahealth.com",
"affiliation": "N",
"address_1": "11 Salt Creek Ln Ste 101",
"city": "Hinsdale",
"state": "IL",
"country_code": "US",
"postal_code": "605213032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.