DR. ALBERTO BRONISCER MD NPI 1184627382

NPI Information

NPI: 1184627382
Provider Name: DR. ALBERTO BRONISCER, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
262 DANNY THOMAS PLACE, MS 0515
ST. JUDE CHILDREN'S RESEARCH HOSPITAL
MEMPHIS, TN
ZIP 38105
Phone: (901) 595-3006
Get Directions

DR. Alberto Broniscer, MD is a pediatric hematology-oncology pediatrics in Memphis, TN. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Alberto Broniscer, MD NPI is 1184627382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

262 DANNY THOMAS PLACE, MS 0515
ST. JUDE CHILDREN'S RESEARCH HOSPITAL
MEMPHIS, TN
ZIP 38105-678
Phone: (901) 595-3006
Fax: (901) 595-3842

The NPI 1184627382 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 4/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	36398	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2524085	MEDICAID	OHIO
2	563072	MEDICAID	IOWA
3	205951007	MEDICAID	MISSOURI
4	422400000	MEDICAID	MAINE
5	009905345	MEDICAID	ALABAMA
6	H62912	MEDICARE UPIN	TENNESSEE
7	0071961	MEDICAID	MONTANA
8	104677849	MEDICAID	MICHIGAN
9	3496709	MEDICAID	TENNESSEE
10	0030341	MEDICAID	NEW JERSEY
11	360488800	MEDICAID	MINNESOTA
12	804030	MEDICAID	ARIZONA
13	00126518	MEDICAID	MISSISSIPPI
14	100847840A	MEDICAID	OKLAHOMA
15	1136395	MEDICAID	LOUISIANA
16	64056849	MEDICAID	KENTUCKY
17	186358377A	MEDICAID	GEORGIA
18	200336060A	MEDICAID	KANSAS
19	200400610A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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