Individual provider Active NPI

Wendell D Bronson, D.O.

  • Rheumatology Physician
  • Saint Joseph, MO
National Provider Identifier
1205866688
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
R4J27 Issued in MO
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4570541OtherMOAETNA
100232910BMedicaidKS
19482014OtherMOBLUE SHIELD KC
243710209MedicaidMO
10001146000OtherMOCHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
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

LicenseStateTypeSpecialty
R4J27MOMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern Health Management, Inc. Past Accepting new patients
Harrison County Community Hospital District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.