Active NPI
Gerald S Bronstein, M.D.
- General Practice Physician
- Sedona, AZ
National Provider Identifier
1316973175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- AZ22947
- Practice address
- 2530 W Hwy 89a
BLDG a
Sedona, AZ 86336 - Phone
- (928) 203-4813
- Fax
- (928) 203-0201
- NPI assigned
- Jun 24, 2006
- Last updated
- May 2, 2008
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | AZ22947 | AZ | Primary |
Addresses
Primary practice location
2530 W Hwy 89a
BLDG a
Sedona, AZ 86336
Mailing address
503 El Camino Rd
Sedona, AZ 86336-5171
Phone (928) 282-2791
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 |
|---|---|---|---|
| 22947 | AZ | MD | Mental Health Counselor |
| AZ22947 | AZ | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1316973175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 EL CAMINO RD",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365171",
"telephone_number": "928-282-2791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 W HWY 89A",
"address_2": "BLDG A",
"city": "SEDONA",
"state": "AZ",
"postal_code": "86336",
"telephone_number": "928-203-4813",
"fax_number": "928-203-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONSTEIN",
"first_name": "GERALD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "AZ22947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.