NPIMap

Organization Active NPI

Bronson Services LLC

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
National Provider Identifier
1811934771
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BRONSON SERVICES LLC
Practice address
524 S Park St
Kalamazoo, MI 49007-5118
Phone
(269) 381-2920
Fax
(269) 381-4681
NPI assigned
Jun 1, 2006
Last updated
Feb 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Dr. Steven Waslawski, MD
Title
Corporate President
Phone
(616) 363-7339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

524 S Park St
Kalamazoo, MI 49007-5118

Mailing address

524 S Park St
Kalamazoo, MI 49007-5118
Phone (269) 381-2920

Other identifiers 3

IdentifierTypeStateIssuer
DB9949OtherMIRAILROAD MEDICARE
300C911710OtherMIBLUE CROSS BLUE SHIELD
P31729FOtherMIBLUE CARE NETWORK

Other names 1

  • Bronson Advanced Radiology Services Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7280 Reliable Pkwy
Chicago, IL 60686

524 S Park St
Kalamazoo, MI 49007
Phone (269) 341-6789

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1811934771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075118",
            "telephone_number": "269-381-2920",
            "fax_number": "269-381-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075118",
            "telephone_number": "269-381-2920",
            "fax_number": "269-381-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONSON SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "WASLAWSKI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "616-363-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB9949",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "300C911710",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P31729F",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronson Advanced Radiology Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.