Individual provider Active NPI

Eric Slavin Bronfenbrenner, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bethlehem, PA
National Provider Identifier
1427498773
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006453 Issued in PA
Practice address
303 W Broad St
Bethlehem, PA 18018-5526
Phone
(610) 865-0311
Fax
(610) 865-9458
NPI assigned
Jul 1, 2013
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006453 PA Primary

Addresses

Primary practice location

303 W Broad St
Bethlehem, PA 18018-5526

Mailing address

303 W Broad St
Bethlehem, PA 18018-5526
Phone (610) 865-0311

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223000059 PA Practitioner - Podiatry 0345545794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

153 Brodhead Rd
Bethlehem, PA 18017-8931
Phone (484) 822-5221

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

2363 Macarthur Rd
Whitehall, PA 18052-4523
Phone (484) 661-6889

2365 Macarthur Rd
Whitehall, PA 18052-4539
Phone (484) 661-6889

303 W Broad St
St Lukes Podiatry Associates
Bethlehem, PA 18018-5526
Phone (610) 865-0311

421 Chew St
Allentown, PA 18102-3406
Phone (484) 503-1018

421 W Chew St
Allentown, PA 18102-3406
Phone (610) 776-4959

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue64
Removal of skin lesions1-10
Removal of nail tissue136
Removal or shaving of skin growth35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006453PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Mar 26, 2019 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jul 1, 2016 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 1, 2016 Accepting new patients
Star Community Health, Inc CurrentSince Mar 26, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

303 W Broad St
Bethlehem, PA 18018
Phone (610) 865-0311

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1534 Park Ave
Ste 230
Quakertown, PA 18951
Phone (215) 529-5222

Interoperability endpoints

  • Direct secure messaging: eric.bronfenbrenner@slpg.direct-sluhn.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1427498773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185526",
            "telephone_number": "610-865-0311",
            "fax_number": "610-865-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185526",
            "telephone_number": "610-865-0311",
            "fax_number": "610-865-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONFENBRENNER",
        "first_name": "ERIC",
        "middle_name": "SLAVIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.