Eric Donald Bronson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102094 Issued in FL

Practice address

1600 Town Center Blvd Ste C
Weston, FL 33326-3641

Phone

(954) 389-5900

Fax

(954) 389-5751

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ericbronson@smasfpa.allscriptsdirect.net

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.

• Sports Medicine Associates of South Florida, P.a.

  • Orthopaedic Surgery Physician
  • Plantation, FL
  • NPI 1487624771
  Medicare reassignment
• Foot Ankle & Leg Specialists of South Florida Inc

  • Foot & Ankle Surgery Podiatrist
  • Weston, FL
  • NPI 1043269947
  NPD

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1568436400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242729",
            "telephone_number": "954-349-2345",
            "fax_number": "954-641-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 TOWN CENTER BLVD STE C",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263641",
            "telephone_number": "954-389-5900",
            "fax_number": "954-389-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 SW 84th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242729",
            "country_code": "US",
            "telephone_number": "954-720-1530",
            "fax_number": "954-720-6540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRONSON",
        "first_name": "ERIC",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102094",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102094",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002602400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "002876700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briseida Casta MD P.a
• Ibis Brito, PSY.D., LMHC
• Kristen Brittain
• Russell C Brockwell, MD
• Danielle Brodsky
• Jeano Brooks, MS, RDN, LDN
• Michele Brooks, BCABA
• Logan Broome, MD
• Donna Lynne Brouda, R.D.
• Broward Head Neck and Facial Plastic Surgery PA

• Physician Assistant in Weston, FL
• Providers in Weston, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.