Michael Lee Bronson, M.ED., ATC LAT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

503 Issued in OK

Practice address

180 W Brooks St
Norman, OK 73019-1018

Phone

(405) 325-8200

NPI assigned

Jul 30, 2014

Last updated

Jul 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1437567773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14209 BRIARCLIFF DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731707288",
            "telephone_number": "405-206-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W BROOKS ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730191018",
            "telephone_number": "405-325-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSON",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "M.ED., ATC LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": "503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Brock, R.D.H.
• Thomas Michael Brock, APRN-CNP
• Randi Brockhaus
• Makayla Brogdon
• Megan Brondel
• Brookdale Senior Living Communities, Inc. (Brookdale Norman)
• Brookhaven Gardens, LLC (Brookhaven Extensive Care)
• Brookhaven Medical Women's Center (Shelba J. Bethel M.D., Inc)
• Brookhaven Specialty Pharmacy LLC (Brookhaven Pharmacy & Compounding Center)
• Brooks Surgical Arts, PLLC

• Student in an Organized Health Care Education/Training Program in Norman, OK
• Providers in Norman, OK by specialty
• Student in an Organized Health Care Education/Training Program in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.