Active NPI
Howard David Bronstein, MD
- Internal Medicine Physician
- Phila, PA
National Provider Identifier
1356355002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD016792E
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 597586 | Other | PA | TPI GROUP MEDICARE |
| 0053970000 | Other | KEYSTONE | |
| 052598 | Other | PA | BLUE |
| 1075524 | Other | KEYSTONE MERCY | |
| 0018276 | Other | PA | AETNA |
| CD4829 | Other | PA | TPI RAILROAD MEDICARE GROUP |
| 1007278000 | Other | PA | TPI GROUP MEDICAID |
| 0727755 | Medicaid | PA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD016792E | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Temple Physician Inc. | Internal Medicine | Current | Accepting new patients |
| Temple Physicians Inc | Current | 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 | Past | 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.
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1174593123
-
- Internal Medicine Physician
- Feasterville Trevose, PA
- NPI 1174497366
-
- Family Medicine Physician
- Phila, PA
- NPI 1225273212
-
- Internal Medicine Physician
- Wyndmoor, PA
- NPI 1083954812
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1205245040
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Washington, PA
- NPI 1518396530
-
- Family Medicine Physician
- Flourtown, PA
- NPI 1952642936
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.