Active NPI
Seymour Maynard Bronstein, M.D.
- Hematology & Oncology Physician
- La Grande, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD27924
- Practice address
- 900 Sunset Dr
La Grande, OR 97850-1387 - Phone
- (541) 963-2828
- Fax
- (541) 975-5132
- NPI assigned
- Apr 28, 2006
- Last updated
- Jan 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD27924 | OR | Primary |
Addresses
Primary practice location
900 Sunset Dr
La Grande, OR 97850-1387
Mailing address
900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12758 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grande Ronde Hospital, Inc. | Current | Accepting new patients | |
| Wallowa County Health Care District | Current | Accepting new patients | |
| Wallowa County Health Care District | Current | Accepting new patients | |
| Grande Ronde Hospital, Inc. | Current | Accepting new patients | |
| Grande Ronde Hospital, Inc | Current | Accepting new patients |
Locations
601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111
900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421
Organizations & group practices 5
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.
-
- Critical Access Hospital
- La Grande, OR
- NPI 1467446195
-
dba Wallowa Memorial Hospital
- Critical Access Hospital Clinic/Center
- Enterprise, OR
- NPI 1447256250
-
dba Grande Ronde Hospital Union Clinic
- Primary Care Clinic/Center
- Union, OR
- NPI 1871972729
-
dba Grande Ronde Hospital Urgent Care
- Rural Health Clinic/Center
- La Grande, OR
- NPI 1093296519
-
dba Wallowa Memorial Medical Clinic - Downtown
- Rural Health Clinic/Center
- Enterprise, OR
- NPI 1295338333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1114984424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 SUNSET DR",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978501387",
"telephone_number": "541-963-2828",
"fax_number": "541-975-5132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SUNSET DR",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978501387",
"telephone_number": "541-963-2828",
"fax_number": "541-975-5132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONSTEIN",
"first_name": "SEYMOUR",
"middle_name": "MAYNARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OR",
"license": "MD27924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12758",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.