NPI 1114076502 · live from the CMS NPI Registry
Kerry A Bron, MD
Radiology, Pediatric Radiology in Wilmington, DE. National Provider Identifier 1114076502, active.
NPI record
| NPI | 1114076502 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Pediatric Radiology 2085P0229X |
| Practice location | 1600 Rockland Road, Wilmington, DE 19803 |
| Practice phone | 302-651-4000 |
| Mailing address | Po Box 191, Rockland, DE 19723 |
| Enumerated | January 9, 2007 |
| Last updated | April 18, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | MT029313 (PA) |
| Radiology, Pediatric Radiology primary | 2085P0229X | C10008764 (DE) |
| Radiology, Pediatric Radiology | 2085P0229X | MD054174L (PA) |
| Radiology, Pediatric Radiology | 2085P0229X | ME111342 (FL) |
| Radiology, Pediatric Radiology | 2085P0229X | 25MA08485300 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.