Carl Bronitsky, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

30960 Issued in AZ

Practice address

1780 E Florence Blvd Ste 108
Casa Grande, AZ 85122-4782

Phone

(520) 381-6758

Fax

(520) 381-6040

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, AL, IN3 enrollments

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 3

Specialty

Obstetrics/Gynecology

Education

Pennsylvania State University College of Medicine, 1977

Medicare assignment

May accept Medicare assignment

Group practices

Healthnet IncGroup PAC ID 7214840933, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carl.bronitskymd.p1@direct.ycchs.nextgenshare.com

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.

• Healthnet, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1780634964
  Medicare reassignment Care Compare group NPD
• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075

  TX

  Medicare reassignment NPD
• Horizon Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Oneonta, AL
  • NPI 1588904791
  Medicare reassignment NPD
• Southview Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Hanceville, AL
  • NPI 1033554357
  Medicare reassignment NPD
• San Carlos Apache Healthcare Corporation

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713
  NPD
• Buglisi Eye Care, PLLC

  • Ophthalmology Physician
  • Jacksonville, NC
  • NPI 1811262579
  NPD
• Takey Crist MD PA

  • Obstetrics & Gynecology Physician
  • Jacksonville, NC
  • NPI 1326018847
  NPD
• Mariposa Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Patagonia, AZ
  • NPI 1003837618

  Obstetrics & Gynecology

  NPD (past)
• Bladen Healthcare LLC

  • Critical Access Hospital
  • Elizabethtown, NC
  • NPI 1558537282
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1487618658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 E FLORENCE BLVD STE 108",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224782",
            "telephone_number": "520-381-6758",
            "fax_number": "520-381-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 E FLORENCE BLVD STE 108",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224782",
            "telephone_number": "520-381-6758",
            "fax_number": "520-381-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONITSKY",
        "first_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "30960",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "33983",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "739716",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brighter Days Casa Grande LLC
• Brilliance Health Staffing
• Corey Shaun Brinton, PT, DPT
• Melanie Janine Britton-Hazely
• Kathy Brock, R.N.
• Ron M Brooks I, RPH
• Angela Kay Brown, M.A.,CCC-SLP
• Natalie Carol Brown, MED.
• Michelle Marie Brubaker, PHARM.D
• BSC Casa Grande LLC

• Obstetrics & Gynecology Physician in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.