Individual provider Active NPI

David Neil Bronaugh, P.A.C.

  • Physician Assistant
  • Snellville, GA
National Provider Identifier
1447358254
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003371 Issued in GA
Practice address
3020 Highway 124
Snellville, GA 30039-4614
Phone
(770) 978-1331
Fax
(770) 978-8580
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003371 GA Primary

Addresses

Primary practice location

3020 Highway 124
Snellville, GA 30039-4614

Mailing address

640 Roland Manor Dr
Dacula, GA 30019-6512
Phone (678) 376-0525

Other identifiers 1

IdentifierTypeStateIssuer
003134856AMedicaidGA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000628 GA Practitioner - Physician Assistant 9739358151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. B Abraham PCGroup PAC ID 4981693314, 7 clinicians

Practice addresses (Care Compare)

3020 Hwy 124
Snellville, GA 30039-4614
Phone (770) 978-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W. Marsh, Dopc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.bronaugh@dbap.eclinicaldirectplus.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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1447358254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ROLAND MANOR DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196512",
            "telephone_number": "678-376-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HIGHWAY 124",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394614",
            "telephone_number": "770-978-1331",
            "fax_number": "770-978-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONAUGH",
        "first_name": "DAVID",
        "middle_name": "NEIL",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003134856A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.