Individual provider Active NPI

Ronald L Brociner, MD

  • Diagnostic Radiology Physician
  • Lake Jackson, TX
National Provider Identifier
1225001092
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G4859 Issued in TX
Practice address
203 Dewberry Dr
Lake Jackson, TX 77566-4977
Phone
(979) 297-7364
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G4859 TX Primary

Addresses

Primary practice location

203 Dewberry Dr
Lake Jackson, TX 77566-4977

Mailing address

203 Dewberry Dr
Lake Jackson, TX 77566-4977
Phone (979) 297-7364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050316000466 TX Practitioner - Diagnostic Radiology 8628023280 Reassigns benefits to 3 organizations
I20240328000239 SC Practitioner - Diagnostic Radiology 8628023280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G4859TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Jan 15, 2024 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Mar 25, 2024 Accepting new patients
Adventhealth West Florida Imaging, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Utmb Faculty Group Practice Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Oct 31, 2020 Accepting new patients
Brownwood Hospital LP Diagnostic Radiology Past Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology Past Accepting new patients
James D Fuchs, M.D.,P.a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
Amarillo Radiology Associates LLP Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of South Florida, Inc Diagnostic Radiology Past Accepting new patients
Brazosport Radiology PLLC Diagnostic Radiology Past Accepting new patients

Locations

5 S Lewis Plz
Greenville, SC 29605
Phone (864) 242-4122

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

2 Innovation Dr
Greenville, SC 29607
Phone (864) 400-3668

131 Commonwealth Dr
Ste 220
Greenville, SC 29615
Phone (864) 213-9927

1 Cannon Dr
Greenville, SC 29605
Phone (336) 970-5318

1050 Grove Rd
Greenville, SC 29605
Phone (864) 242-5020

1 Marcus Dr
Ste 100
Greenville, SC 29615
Phone (864) 751-2051

35 International Dr
Greenville, SC 29615
Phone (864) 242-5020

104 Innovation Dr
Greenville, SC 29607
Phone (864) 255-1000

309 W Butler Rd
Mauldin, SC 29662
Phone (864) 295-2131

3970 Grandview Dr
Ste 1400
Simpsonville, SC 29680
Phone (864) 234-9900

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

820 Clarksville St
Paris, TX 75460
Phone (903) 737-3291

Interoperability endpoints

  • Direct secure messaging: rbrocinermd54499@direct.utmb.edu

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1225001092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 DEWBERRY DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664977",
            "telephone_number": "979-297-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 DEWBERRY DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664977",
            "telephone_number": "979-297-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCINER",
        "first_name": "RONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G4859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.