Arie J Bronkhorst, CO,LO,LPA

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

159 Issued in TX

Practice address

1301 Barbara Jordan Blvd Ste 306
Austin, TX 78723-3080

Phone

(512) 459-0011

Fax

(512) 459-9522

NPI assigned

Apr 3, 2009

Last updated

Apr 3, 2009By the provider in NPPES

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

Other names 1

• Bud Bronkhorst Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1528200623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD STE 306",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233080",
            "telephone_number": "512-459-0011",
            "fax_number": "512-459-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD STE 306",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233080",
            "telephone_number": "512-459-0011",
            "fax_number": "512-459-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONKHORST",
        "first_name": "ARIE",
        "middle_name": "J",
        "credential": "CO,LO,LPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "159",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "1139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79427303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BUD",
            "last_name": "BRONKHORST",
            "credential": "CO,LO,LPA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Orthotist in Austin, TX
• Providers in Austin, TX by specialty
• Orthotist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.