Dr Mark Richard Bronson, DC | |
5521 Bellaire Dr S, Suite 100, Benbrook, TX 76109-8838 | |
(817) 732-4441 | |
Not Available |
Full Name | Dr Mark Richard Bronson |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 40 Years |
Location | 5521 Bellaire Dr S, Benbrook, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396719472 | NPI | - | NPPES |
001251001 | Medicaid | TX | |
4065 | Other | TX | STATE LICENSE |
751839034 | Other | TX | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NX0800X | Chiropractor - Orthopedic | 4065 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bronson Clinic, Inc. | 8426231374 | 2 |
Provider Name | Bronson Clinic, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225231715 PECOS PAC ID: 8426231374 Enrollment ID: O20110330000559 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Richard Bronson, DC 5521 Bellaire Dr S, Suite 100, Benbrook, TX 76109-8838 Ph: (817) 732-4441 | Dr Mark Richard Bronson, DC 5521 Bellaire Dr S, Suite 100, Benbrook, TX 76109-8838 Ph: (817) 732-4441 |
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