Individual provider Active NPI

Bronier L Costas, M.D.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1447209770
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
027363 Issued in GA
Practice address
980 Johnson Ferry Rd NE
Atlanta, GA 30342-1626
Phone
(404) 255-0226
Fax
(404) 256-8970
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 027363 GA Primary

Addresses

Primary practice location

980 Johnson Ferry Rd NE
Atlanta, GA 30342-1626

Mailing address

980 Johnson Ferry Rd NE
Atlanta, GA 30342-1626
Phone (404) 255-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100818000917 GA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 4284645433 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Hand and Upper Extremity Center of Ga, PC CurrentSince Jul 1, 1966 Accepting new patients
The Hand & Upper Extremity Rehabilitation Center of Georgia LLC PastSince Dec 28, 2005 Accepting new patients

Locations

980 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 255-2057

980 Johnson Fy Rd NE
Ste 1020
Sandy Springs, GA 30342
Phone (404) 255-0226

980 Johnson Fy Rd NE
Ste 1000
Sandy Springs, GA 30342
Phone (404) 255-0226

Interoperability endpoints

  • Direct secure messaging: bcostas@thuec1870.srs-direct.com

Organizations & group practices 2

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1447209770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421626",
            "telephone_number": "404-255-0226",
            "fax_number": "404-256-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421626",
            "telephone_number": "404-255-0226",
            "fax_number": "404-256-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAS",
        "first_name": "BRONIER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "027363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.