=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689889263
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANK A BRONER M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/14/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7377 WASHINGTON BLVD SUITE 101
-----------------------------------------------------
City | ELKRIDGE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21075-6360
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-259-2775
-----------------------------------------------------
Fax | 410-259-2776
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10215 DAPHNEY HOUSE WAY
-----------------------------------------------------
City | ROCKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20850-5447
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-738-2253
-----------------------------------------------------
Fax | 410-259-2776
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2083X0100X
-----------------------------------------------------
Taxonomy Name | Occupational Medicine Physician
-----------------------------------------------------
License Number | D46195
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | D0046195
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------