Mark a. Bronstein, M.D., Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MARK A. BRONSTEIN, M.D., INC

Practice address

11180 Warner Ave Ste 163
Fountain Valley, CA 92708-7515

Phone

(714) 751-1188

Fax

(714) 751-2403

NPI assigned

Dec 13, 2007

Last updated

Dec 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Bronstein, M.D.NPI 1750457404

Title

President

Phone

(714) 751-1188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark A. Bronstein, M.D.

  • Ophthalmology Physician
  • Fountain Valley, CA
  • NPI 1750457404
  Authorized official Same address or phone

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1124201033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE STE 163",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087515",
            "telephone_number": "714-751-1188",
            "fax_number": "714-751-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE STE 163",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087515",
            "telephone_number": "714-751-1188",
            "fax_number": "714-751-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. BRONSTEIN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "BRONSTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-751-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.