Individual provider Active NPI

Virginia Ann Smith-Bronstein, M.D.

  • Otolaryngology Physician
  • San Rafael, CA
National Provider Identifier
1093159634
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C207094 Issued in CA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190716003775 IL Practitioner - Otolaryngology 6002110012 Reassigns benefits to 1 organization
I20251124000534 MN Practitioner - Otolaryngology 6002110012 Reassigns benefits to 1 organization
I20260219000242 CA Practitioner - Otolaryngology 6002110012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of California - UCSFGroup PAC ID 3375822471, 78 clinicians

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

LicenseStateTypeSpecialty
C207094CAMDOtolaryngology Physician
036148473ILMDOtolaryngology Physician
81253MNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Aug 1, 2019 Accepting new patients
Regents of the University of California - UCSF CurrentSince Feb 2, 2026 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Dec 8, 2025 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Dec 8, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.