Bryan Anthony Rondon

Primary specialty

ContractorTaxonomy code 171W00000X

License

DCQ-122301574 Issued in WI

Practice address

1748 Beloit Ave
Janesville, WI 53546-3031

Phone

(608) 774-8249

NPI assigned

Apr 9, 2024

Last updated

Apr 9, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1881447795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 OAKLAND AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535454137",
            "telephone_number": "608-774-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 BELOIT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535463031",
            "telephone_number": "608-774-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDON",
        "first_name": "BRYAN",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WI",
            "license": "DCQ-122301574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle A Rollmann, OTR
• Adriana Cristina Roman Soto, MD
• Paul Nicholas Romanelli, DDS
• Sam Paul Romano Jr., MSW LCSW
• Krystal Romero Valentin, MD
• James Rooney
• Jonathan Timothy Rooney
• Angelita Marie Rosario, APNP
• Michelle L Rose-Barajas, PSY.D.
• Rosecrance, Inc.

• Contractor in Janesville, WI
• Providers in Janesville, WI by specialty
• Contractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.