Bronwyn Gorgone

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F421511 Issued in NY

Practice address

655 Middle Country Rd Apt 1E1
Coram, NY 11727-3337

Phone

(631) 235-6884

NPI assigned

Nov 14, 2015

Last updated

Oct 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Planned Parenthood of the Southern Finger Lakes Inc.

  • Ambulatory Family Planning Facility
  • Ithaca, NY
  • NPI 1881761484
  NPD (past)

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

{
    "created_epoch": "1447459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1669846655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ORCHARD ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405098",
            "telephone_number": "631-235-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MIDDLE COUNTRY RD APT 1E1",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273337",
            "telephone_number": "631-235-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORGONE",
        "first_name": "BRONWYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-14",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "705261",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Gonzales
• George Gonzalez
• Lauren Mavis Gonzalez, M.A., SLP
• Victoria Eugenia Gonzalez
• Ellen Gordon, LMSW
• Georgina Graviano
• Robert Daniel Greenwald, LMT
• Bradley P Gross
• Debbie Gross, LCSW-R
• Bruce M Grossman, LCSW

• Women's Health Nurse Practitioner in Coram, NY
• Providers in Coram, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.