Active NPI
Bronwen Jenney Anders, MD
- Specialist
- El Cajon, CA
National Provider Identifier
1295855898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G49297
- Practice address
- 5442 Sycuan Rd
El Cajon, CA 92019-1816 - Phone
- (619) 445-0707
- Fax
- (619) 445-0988
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G49297 | CA | Primary |
Addresses
Primary practice location
5442 Sycuan Rd
El Cajon, CA 92019-1816
Mailing address
12106 Wildcat Canyon Rd
Lakeside, CA 92040-1521
Phone (619) 445-0707
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G49297 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295855898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12106 WILDCAT CANYON RD",
"city": "LAKESIDE",
"state": "CA",
"postal_code": "920401521",
"telephone_number": "619-445-0707",
"fax_number": "619-445-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5442 SYCUAN RD",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920191816",
"telephone_number": "619-445-0707",
"fax_number": "619-445-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERS",
"first_name": "BRONWEN",
"middle_name": "JENNEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G49297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.