Organization Active NPI

Darryl M. Bronson, M.D., S.C.

Doing business as Darryl M. Bronson, MD, Bonnie L. Barsky, MD

  • Specialist
  • Highland Park, IL
National Provider Identifier
1356475495
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036055481 Issued in IL
Legal business name
DARRYL M. BRONSON, M.D., S.C.
Doing business as
Darryl M. Bronson, MD, Bonnie L. Barsky, MD
Practice address
767 Park Ave W
Suite 310
Highland Park, IL 60035-2400
Phone
(847) 432-4650
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Dr. Darryl M Bronson, M.D.
Title
President
Phone
(847) 432-4650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036055481 IL Primary

Addresses

Primary practice location

767 Park Ave W
Suite 310
Highland Park, IL 60035-2400

Mailing address

767 Park Ave W
Suite 310
Highland Park, IL 60035-2400
Phone (847) 432-4650

Other names 1

  • Darryl M. Bronson, MD, Bonnie L. Barsky, MD Doing business as

National Provider Directory

National Provider Directory

Locations

767 Park Ave W
Ste 310
Highland Park, IL 60035
Phone (847) 432-4650

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1356475495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W",
            "address_2": "SUITE 310",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352400",
            "telephone_number": "847-432-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W",
            "address_2": "SUITE 310",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352400",
            "telephone_number": "847-432-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL M. BRONSON, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "BRONSON",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-432-4650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036055481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Darryl M. Bronson, MD, Bonnie L. Barsky, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.