Active NPI
Wendell D Bronson, D.O.
- Rheumatology Physician
- Saint Joseph, MO
National Provider Identifier
1205866688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- R4J27
- Practice address
- 802 N Riverside Rd
Suite 200
Saint Joseph, MO 64507-2553 - Phone
- (816) 271-7979
- Fax
- (816) 271-7971
- NPI assigned
- Jul 3, 2006
- Last updated
- Sep 18, 2017
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | R4J27 | MO | Primary |
Addresses
Primary practice location
802 N Riverside Rd
Suite 200
Saint Joseph, MO 64507-2553
Mailing address
802 N Riverside Rd
Suite 200
Saint Joseph, MO 64507-2553
Phone (816) 271-7979
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4570541 | Other | MO | AETNA |
| 100232910B | Medicaid | KS | |
| 19482014 | Other | MO | BLUE SHIELD KC |
| 243710209 | Medicaid | MO | |
| 10001146000 | Other | MO | CHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.76 of 100
- Quality
- 74.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4J27 | MO | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwestern Health Management, Inc. | Past | Accepting new patients | |
| Harrison County Community Hospital District | Past | Accepting new patients |
Interoperability endpoints
- wendell.bronson@direct.mymlc.com
Organizations & group practices 2
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 Harrison County Community Hospital
- Critical Access Hospital
- Bethany, MO
- NPI 1528062569
-
- Family Medicine Physician
- Saint Joseph, MO
- NPI 1104962901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505692800000",
"number": "1205866688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 N RIVERSIDE RD",
"address_2": "SUITE 200",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645072553",
"telephone_number": "816-271-7979",
"fax_number": "816-271-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 N RIVERSIDE RD",
"address_2": "SUITE 200",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645072553",
"telephone_number": "816-271-7979",
"fax_number": "816-271-7971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONSON",
"first_name": "WENDELL",
"middle_name": "D",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2017-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MO",
"license": "R4J27",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4570541",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100232910B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD KC",
"identifier": "19482014",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "243710209",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHP",
"identifier": "10001146000",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.