Mark A. Bronstein, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G44667 Issued in CA

Practice address

11180 Warner Ave #163
Fountain Valley, CA 92708

Phone

(714) 751-1188

Fax

(714) 751-2403

NPI assigned

Nov 27, 2006

Last updated

Feb 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.18 of 100Reported as group

Quality

99.47

Improvement activities

40

Cost

77.98

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Marshall B. Ketchum University

  • Optometrist
  • Anaheim, CA
  • NPI 1720101876
  Medicare reassignment NPD
• Mark a. Bronstein, M.D., Inc

  • Ophthalmology Physician
  • Fountain Valley, CA
  • NPI 1124201033
  Authorized official Same address or phone
• Marshall B. Ketchum University

  dba Ketchum Health Medical Clinic

  • Multi-Specialty Clinic/Center
  • Anaheim, CA
  • NPI 1174037493
  NPD

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1750457404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE STE 163",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087515",
            "telephone_number": "714-751-1188",
            "fax_number": "714-751-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE #163",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-751-1188",
            "fax_number": "714-751-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSTEIN",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G44667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162028",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bristol Park Medical Group, Inc
• Elivet Brito Ruiz-Ramos, M.S.
• Prudence Armandine Broadwell, LAC
• Benjamin Edward Brodie, CMT, NMT
• Suzanne Brodsly, LCSW
• Brookhurst Residential, Inc. (Seaside Terrace Retirement Community)
• Valery Brouwer, MD
• Gregory Brown, D.C.
• Maddisen Casandra Brown
• Tiara Brown

• Ophthalmology Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.
• 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.