NPI 1881101178 · live from the CMS NPI Registry
Michael Philip Bronnenberg, PA-C
Physician Assistant, Medical in Concord, NH. National Provider Identifier 1881101178, active.
NPI record
| NPI | 1881101178 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 250 Pleasant St, Concord, NH 03301 |
| Practice phone | 603-227-7000 |
| Mailing address | 53 Main St, Chichester, NH 03258 |
| Enumerated | January 8, 2018 |
| Last updated | January 8, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | Pending (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.