Richard Lawrence Bronzo X, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

131009 Issued in NY

Practice address

192 East Shore Rd
Great Neck, NY 11023

Phone

(516) 466-5166

Fax

(516) 466-7828

NPI assigned

Oct 3, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1477647055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 EAST SHORE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11023",
            "telephone_number": "516-466-5166",
            "fax_number": "516-466-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 EAST SHORE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11023",
            "telephone_number": "516-466-5166",
            "fax_number": "516-466-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONZO",
        "first_name": "RICHARD",
        "middle_name": "LAWRENCE",
        "name_suffix": "X",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "131009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "47A741",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4310165",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "AS1127",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian D. Cohen, M.D., PLLC
• Jaclyn Taylor Brigandi
• Bianca Brockman, PA-C
• Liat Mindy Brody, M.S., OTR/L
• Stewart Charles Brody, DDS
• Donna Marie Brook, FNP
• Janet T Brooks, PA
• Stephanie Brooks
• David Peter Bross, M.D.
• Jessica Broth, MA CCC SLP

• Gastroenterology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.