Active NPI
Bronson Dull
- Social Worker
- Medford, OR
National Provider Identifier
1184085151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 825 E Main St Ste E
Medford, OR 97504-7171 - Phone
- (541) 621-0303
- Fax
- (458) 226-2072
- NPI assigned
- Mar 17, 2016
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
825 E Main St Ste E
Medford, OR 97504-7171
Mailing address
921 Silver Fox Dr
Central Point, OR 97502-3619
Phone (360) 635-3481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1744 E McAndrews Rd
Suite D
Medford, OR 97504-5576
921 Silver Fox Dr
Central Point, OR 97502-3619
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1184085151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 SILVER FOX DR",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975023619",
"telephone_number": "360-635-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E MAIN ST STE E",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047171",
"telephone_number": "541-621-0303",
"fax_number": "458-226-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULL",
"first_name": "BRONSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-17",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.