Hyrum Ray Bronson, D.O.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

11413672-1204 Issued in UT

Practice address

4881 Sugar Maple Dr BLDG 830
Wright Patterson Afb, OH 45433-5529

Phone

(937) 938-3366

NPI assigned

Jun 30, 2008

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1831351923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR BLDG 830",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-938-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR BLDG 830",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-938-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18th Medical Group",
            "address_2": "Unit 5142",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "96368",
            "country_code": "US",
            "telephone_number": "000-630-4478",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "391 S Chipeta Way Ste C",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84108",
            "country_code": "US",
            "telephone_number": "801-581-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86th MDG and TPMRC-E",
            "address_2": "Ramstein AB, Germany",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "NY",
            "postal_code": "09014",
            "country_code": "US",
            "telephone_number": "312-480-8040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86th MDG and TPMRC-E",
            "address_2": "Ramstein AB, Germany",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "NY",
            "postal_code": "09014",
            "country_code": "US",
            "telephone_number": "312-480-8040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 7th St Bldg 700-A78",
            "address_purpose": "LOCATION",
            "city": "Robins AFB",
            "state": "GA",
            "postal_code": "310982227",
            "country_code": "US",
            "telephone_number": "478-327-7607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRONSON",
        "first_name": "HYRUM",
        "middle_name": "RAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "UT",
            "license": "11413672-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Nolan Bonneau, MD
• Rodney Bosserman, IDMT
• Cheryl Bouschard, PT
• Stacey Lynn Branch, DO, MPH
• Austin Brokamp
• Daniel James Brown, M.D.
• James Wellington Brown, MD
• Robert Scott Brown, PHSICIAN ASSISTANT
• Mary Therese Brueggemeyer, M.D.
• Gregory Michael Buchek, MD

• Occupational Medicine Physician in Wright Patterson Afb, OH
• Providers in Wright Patterson Afb, OH by specialty
• Occupational Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.