Active NPI
Amy Kristine Bronick, FNP
- Family Medicine Physician
- Arlington, VA
National Provider Identifier
1982254728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0024177876
- Practice address
- 611 S Carlin Springs Rd Ste 309
Arlington, VA 22204-1086 - Phone
- (703) 671-8444
- NPI assigned
- Sep 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0024177876 | VA | Primary |
Addresses
Primary practice location
611 S Carlin Springs Rd Ste 309
Arlington, VA 22204-1086
Mailing address
611 S Carlin Springs Rd
Arlington, VA 22204-1064
Phone (703) 671-8444
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 |
|---|---|---|---|
| 0024177876 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1982254728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 S CARLIN SPRINGS RD",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222041064",
"telephone_number": "703-671-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 S CARLIN SPRINGS RD STE 309",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222041086",
"telephone_number": "703-671-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONICK",
"first_name": "AMY",
"middle_name": "KRISTINE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": "0024177876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.