Individual provider Active NPI

Bronwyn E.S. Fitz, M.D.

  • Gynecology Physician
  • Harrison, NY
National Provider Identifier
1609994268
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
235591 Issued in NY
Practice address
450 Mamaroneck Ave Ste 414
Harrison, NY 10528
Phone
(203) 900-4194
Fax
(973) 310-7105
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 049583 CT
Gynecology Physician 207VG0400X 235591 NY Primary

Addresses

Primary practice location

450 Mamaroneck Ave Ste 414
Harrison, NY 10528

Mailing address

450 Mamaroneck Ave Ste 414
Harrison, NY 10528-2430
Phone (203) 900-4194

Other practice location 1

1275 Summer St Ste 306
Stamford, CT 06905-5315
Phone (203) 900-4194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049583CTMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1609994268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE STE 414",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282430",
            "telephone_number": "203-900-4194",
            "fax_number": "739-310-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE STE 414",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "10528",
            "telephone_number": "203-900-4194",
            "fax_number": "973-310-7105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 Summer St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069055315",
            "country_code": "US",
            "telephone_number": "203-900-4194",
            "fax_number": "973-310-7105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZ",
        "first_name": "BRONWYN",
        "middle_name": "E.S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CT",
            "license": "049583",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "235591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.