Individual provider Active NPI

Antonia Loiz Bronstein, M.D.

  • Pediatrics Physician
  • Hurst, TX
National Provider Identifier
1710037940
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
TXG7084 Issued in TX
Practice address
1832 Norwood PLZ
Suite a
Hurst, TX 76054-3748
Phone
(817) 280-0016
Fax
(817) 280-0622
NPI assigned
Jan 11, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X TXG7084 TX Primary

Addresses

Primary practice location

1832 Norwood PLZ
Suite a
Hurst, TX 76054-3748

Mailing address

1832 Norwood PLZ
Suite a
Hurst, TX 76054-3748
Phone (817) 280-0016

Other identifiers 2

IdentifierTypeStateIssuer
00G562OtherTXBCBS
10029823MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TXG7084TXMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710037940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 NORWOOD PLZ",
            "address_2": "SUITE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543748",
            "telephone_number": "817-280-0016",
            "fax_number": "817-280-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 NORWOOD PLZ",
            "address_2": "SUITE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543748",
            "telephone_number": "817-280-0016",
            "fax_number": "817-280-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOIZ BRONSTEIN",
        "first_name": "ANTONIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "TXG7084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00G562",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10029823",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.