Donald Bronson III

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2410986 Issued in OH

Practice address

4159 N Holland Sylvania Rd Ste 205
Toledo, OH 43623-4801

Phone

(419) 517-6564

NPI assigned

Jul 18, 2024

Sex

Male

Sole proprietor

No

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

Practice roles

Interoperability endpoints

• Direct secure messaging: donald.bronson.1@28621.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optum Behavioral Care of Ohio, Inc

  • Counseling Psychologist
  • Perrysburg, OH
  • NPI 1144082322
  NPD (past)

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1891533469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 EASTPOINTE DR APT 203",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436192188",
            "telephone_number": "419-908-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4159 N HOLLAND SYLVANIA RD STE 205",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234801",
            "telephone_number": "419-517-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSON",
        "first_name": "DONALD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2410986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Louise Brogan, NP
• Anthony Thomas Bronaugh Sr., MED, BCBA, COBA
• Anthony Thomas Bronaugh Jr.
• Kimberly Bronikowski
• L Robert Bronko, DDS
• Quincy Brook-Grimes, LSW
• Todd Brookens, DO
• Nicole Brooker
• Brookeside Ambulance Service Inc
• Brookeside Ambulette, Inc.

• Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.