Peter Robert Bronec, M.D.
Individual provider Active NPI Neurological Surgery Physician · Durham, NC
NPI 1497711634 · NPPES record last updated Oct 15, 2008
Key facts
- NPI
- 1497711634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 30998 (NC)
- Practice address
- 3901 N Roxboro St
Suite 101
Durham, NC 27704-2181 - Phone
- (919) 479-4120
- Fax
- (919) 479-4204
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Medical Group, Inc. | Neurological Surgery | Past | Accepting new patients |
| Regional Neurosurgery PLLC | Neurological Surgery | Past |
Accepting new patients |
Interoperability endpoints
- pbronec48679@direct.medicine.duke.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 30998 | NC | Yes |
Addresses
Primary practice location
3901 N Roxboro St
Suite 101
Durham, NC 27704-2181
Mailing address
3901 N Roxboro St
Suite 101
Durham, NC 27704-2181
Phone (919) 479-4120
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7918567 | Medicaid | NC |
Other providers in Durham, NC
- Ilana Renee Brodzki
- Sanja Broer
- Joseph Brogan
- Jeremy Edward Brogden
- Judy Ann Brogden
- Yuriy S Bronshteyn
- Zoe Bronstein-Paritz
- Bobbie Brooker
- Brookiel Community Services, Inc
- Brooks Eckerd Pharmacy
All providers in Durham, NC · Neurological Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.