DR. ALBERTO BRONISCER MD NPI 1184627382

NPI Information

  • NPI: 1184627382
  • Provider Name: DR. ALBERTO BRONISCER, MD
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 262 DANNY THOMAS PLACE, MS 0515
    ST. JUDE CHILDREN'S RESEARCH HOSPITAL
    MEMPHIS, TN
    ZIP 38105
  • Phone: (901) 595-3006

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NPI Details

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
12080P0207XPediatricsPediatric Hematology-Oncology36398TENNESSEEYes

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 Other Provider Identifier Issuer
12524085MEDICAIDOHIO
2563072MEDICAIDIOWA
3205951007MEDICAIDMISSOURI
4422400000MEDICAIDMAINE
5009905345MEDICAIDALABAMA
6H62912MEDICARE UPINTENNESSEE
70071961MEDICAIDMONTANA
8104677849MEDICAIDMICHIGAN
93496709MEDICAIDTENNESSEE
100030341MEDICAIDNEW JERSEY
11360488800MEDICAIDMINNESOTA
12804030MEDICAIDARIZONA
1300126518MEDICAIDMISSISSIPPI
14100847840AMEDICAIDOKLAHOMA
151136395MEDICAIDLOUISIANA
1664056849MEDICAIDKENTUCKY
17186358377AMEDICAIDGEORGIA
18200336060AMEDICAIDKANSAS
19200400610AMEDICAIDINDIANA

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: 11/21/2025

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