Individual provider Active NPI

Howard David Bronstein, MD

  • Internal Medicine Physician
  • Phila, PA
National Provider Identifier
1356355002
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD016792E Issued in PA
Practice address
7500 Central Ave
Phila, PA 19111-2431
Phone
(215) 742-0712
Fax
(215) 742-5218
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD016792E PA Primary

Addresses

Primary practice location

7500 Central Ave
Phila, PA 19111-2431

Mailing address

7500 Central Ave
Phila, PA 19111-2431
Phone (215) 742-0712

Other identifiers 8

IdentifierTypeStateIssuer
597586OtherPATPI GROUP MEDICARE
0053970000OtherKEYSTONE
052598OtherPABLUE
1075524OtherKEYSTONE MERCY
0018276OtherPAAETNA
CD4829OtherPATPI RAILROAD MEDICARE GROUP
1007278000OtherPATPI GROUP MEDICAID
0727755MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000933 PA Practitioner - Internal Medicine 0648287300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD016792EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Temple Physician Inc. Internal Medicine CurrentSince Nov 1, 2012 Accepting new patients
Temple Physicians Inc CurrentSince Nov 1, 2012 Accepting new patients
Temple Physicians Inc Internal Medicine Past Accepting new patients
Temple Physicians Inc Internal Medicine Past Accepting new patients
Temple Physicians Inc Past Accepting new patients
Temple Physicians Inc Internal Medicine Past Accepting new patients
Fox Chase Medical Associates PC Internal Medicine PastSince Mar 21, 2006 Accepting new patients
Temple Physicians Inc Past Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

7500 Central Ave
Ste 104
Philadelphia, PA 19111
Phone (215) 742-0712

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1356355002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 CENTRAL AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191112431",
            "telephone_number": "215-742-0712",
            "fax_number": "215-742-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CENTRAL AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191112431",
            "telephone_number": "215-742-0712",
            "fax_number": "215-742-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSTEIN",
        "first_name": "HOWARD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD016792E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI GROUP MEDICARE",
            "identifier": "597586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0053970000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "052598",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1075524",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0018276",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI RAILROAD MEDICARE GROUP",
            "identifier": "CD4829",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI GROUP MEDICAID",
            "identifier": "1007278000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0727755",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.