Individual provider Active NPI

Ross Morgan Bronson, DC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1639719115
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14317 Issued in TX
Practice address
5521 Bellaire Dr S Ste 100
Fort Worth, TX 76109-5855
Phone
(817) 732-4441
NPI assigned
Jan 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14317 TX Primary

Addresses

Primary practice location

5521 Bellaire Dr S Ste 100
Fort Worth, TX 76109-5855

Mailing address

5521 Bellaire Dr S Ste 100
Fort Worth, TX 76109-5855
Phone (817) 732-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200311000717 TX Practitioner - Chiropractic 0446688121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Clinic, Inc.Group PAC ID 8426231374, 2 clinicians

Practice addresses (Care Compare)

5521 Bellaire Dr S
Suite 100
Fort Worth, TX 76109-5855
Phone (817) 732-4441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Clinic, Inc. CurrentSince Feb 20, 2020 Accepting new patients
Dr. Brian Mulhall, PA PastSince Jan 19, 2020 Accepting new patients

Locations

5521 Bellaire Dr S
Ste 100
Fort Worth, TX 76109
Phone (817) 723-4441

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1639719115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 BELLAIRE DR S STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095855",
            "telephone_number": "817-732-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 BELLAIRE DR S STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095855",
            "telephone_number": "817-732-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSON",
        "first_name": "ROSS",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.