Active NPI
Stefanie Bronson, AUD, CCC-A
- Audiologist
- Baltimore, MD
National Provider Identifier
1871051581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00601
- Practice address
- 2500 E Northern Pkwy RM 127
Baltimore, MD 21214-1163 - Phone
- (443) 642-4546
- NPI assigned
- Mar 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00601 | MD | Primary |
Addresses
Primary practice location
2500 E Northern Pkwy RM 127
Baltimore, MD 21214-1163
Mailing address
4302 Brookside Oaks Road
Owings Mills, MD 21117
Phone (443) 306-4879
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00601 | MD | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1871051581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 BROOKSIDE OAKS ROAD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "21117",
"telephone_number": "443-306-4879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E NORTHERN PKWY RM 127",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212141163",
"telephone_number": "443-642-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONSON",
"first_name": "STEFANIE",
"name_prefix": "Dr.",
"credential": "AUD, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-12",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "00601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.