Active NPI
Ronald L Brociner, MD
- Diagnostic Radiology Physician
- Lake Jackson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G4859
- 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
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 |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G4859 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Diagnostic Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Bon Secours Diagnostic Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of South Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| Bon Secours Diagnostic Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Adventhealth West Florida Imaging, Inc. | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current | 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 | Past | 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
- 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.
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
Diagnostic Radiology, TX
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- Greenville, SC
- NPI 1083491906
Diagnostic Radiology, SC, TX
-
- Radiology Clinic/Center
- Brandon, FL
- NPI 1619500881
-
- Radiology Clinic/Center
- Greenville, SC
- NPI 1417423088
Diagnostic Radiology
-
- Radiology Clinic/Center
- Greenville, SC
- NPI 1700352374
Diagnostic Radiology
-
- Radiology Clinic/Center
- Greenville, SC
- NPI 1942776521
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Amarillo, TX
- NPI 1861692956
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Lake Jackson, TX
- NPI 1497970669
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Brownwood, TX
- NPI 1275556391
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Lake Jackson, TX
- NPI 1568641181
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
Diagnostic Radiology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.