NPI Information

  • NPI: 1548306566
  • Provider Name: B.R.O.N. CDC INC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • :
  • Address: 602 MANN ST
    FAYETTEVILLE, NC
    ZIP 28301
  • Phone: (910) 485-3377

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NPI Details

B.R.O.N. CDC INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. B.R.O.N. CDC INC NPI is 1548306566. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

602 MANN ST
FAYETTEVILLE, NC
ZIP 28301-240
Phone: (910) 485-3377
Fax: (910) 485-3388

The provider's authorized official is Robert Lee Bronson .
The authorized official title is Ceo and has the following contact phone number (910) 485-3377.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 9/11/2025.

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
1251B00000XCase ManagementNo
2251G00000XHospice Care, Community BasedNo
3251S00000XCommunity/Behavioral HealthNo
4251X00000XSupports BrokerageNo
5320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
6320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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
18700415MEDICAIDNORTH CAROLINA

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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