Garrett William Bronken, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA64900 Issued in CA

Practice address

310 Santa Fe Dr Ste 112
Encinitas, CA 92024-5123

Phone

(760) 690-3133

NPI assigned

Sep 4, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanjum Samagh MD IncGroup PAC ID 2860741238, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: garrett.bronken.1@17920.direct.athenahealth.com

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.

• Sanjum Samagh, M.D. Inc.

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1871081455
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Scripps Health

  dba Scripps Memorial Hospital Encinitas

  • General Acute Care Hospital
  • Encinitas, CA
  • NPI 1700829199
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1356176820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SANTA FE DR STE 112",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245123",
            "telephone_number": "760-690-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SANTA FE DR STE 112",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245123",
            "telephone_number": "760-690-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONKEN",
        "first_name": "GARRETT",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Michael Bresnahan, PTA
• Sarah Brezden Kanaan, LMFT
• Brian Belnap DO, a Medical Corporation (West Coast Pain Specialists)
• Sonja K Brion, MD
• Brittany Fischer, D.D.S, Inc. (Haven Orthodontics)
• Catherine Brooks, LCSW
• Jessica Brower, PA
• Michelle Brower, FNP-C
• Frances Whitfield Brown, LCSW, BCD
• Kevin Dean Brown, PT

• Physician Assistant in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.