Gerald S Bronstein, M.D.
Individual provider Active NPI General Practice Physician · Sedona, AZ
NPI 1316973175 · NPPES record last updated May 2, 2008
Key facts
- NPI
- 1316973175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- AZ22947 (AZ)
- Practice address
- 2530 W Hwy 89a
BLDG a
Sedona, AZ 86336 - Phone
- (928) 203-4813
- Fax
- (928) 203-0201
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ22947 | AZ | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | AZ22947 | AZ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 503434 | Medicaid | AZ |
Other providers in Sedona, AZ
- Raymond R Botte
- Shawna Bowen
- Mark Kevin Brekke
- Ahna E. Bridenbaugh
- Liza Brockway
- Michael Brown
- Lou Ann Bruck
- Emily Jane Burgoon
- Barbara Cummings Burt
- Edward M Byers
All providers in Sedona, AZ · General Practice Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.