Healthcare Provider Details

I. General information

NPI: 1689889263
Provider Name (Legal Business Name): FRANK A BRONER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7377 WASHINGTON BLVD SUITE 101
ELKRIDGE MD
21075-6360
US

IV. Provider business mailing address

10215 DAPHNEY HOUSE WAY
ROCKVILLE MD
20850-5447
US

V. Phone/Fax

Practice location:
  • Phone: 410-259-2775
  • Fax: 410-259-2776
Mailing address:
  • Phone: 301-738-2253
  • Fax: 410-259-2776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD0046195
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberD46195
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: