Active NPI
Andrew D. Bronstein, M.D.
- Diagnostic Radiology Physician
- Bellevue, WA
National Provider Identifier
1255423331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00023523
- Practice address
- 1310 116TH Ave NE
Suite E
Bellevue, WA 98004-3817 - Phone
- (425) 250-1150
- Fax
- (425) 823-6028
- NPI assigned
- Sep 28, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00023523 | WA | Primary |
Addresses
Primary practice location
1310 116TH Ave NE
Suite E
Bellevue, WA 98004-3817
Mailing address
1310 116TH Ave NE
Suite E
Bellevue, WA 98004-3817
Phone (425) 250-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8603326 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00023523 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Consultants of Washington, Inc., P.S. | Diagnostic Radiology | Past | Accepting new patients |
| Medical Scanning Consultants PA | Diagnostic Radiology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Federal Way, WA
- NPI 1730156175
-
- Diagnostic Radiology Physician
- Everett, WA
- NPI 1497914790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255423331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 116TH AVE NE",
"address_2": "SUITE E",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043817",
"telephone_number": "425-250-1150",
"fax_number": "425-823-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 116TH AVE NE",
"address_2": "SUITE E",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043817",
"telephone_number": "425-250-1150",
"fax_number": "425-823-6028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONSTEIN",
"first_name": "ANDREW",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00023523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8603326",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.