MEDICARE: TRUE NORTH MEDICAL GROUP PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1235075656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE NORTH MEDICAL GROUP PC

Provider Business Mailing Address
First Line	:	9525 QUEENS BLVD STE 602
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-4503
Country	:	US
Telephone Number	:	212-400-6633
Fax Number	:	212-260-5260

Provider Business Practice Location Address
First Line	:	9525 QUEENS BLVD STE 602
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-4503
Country	:	US
Telephone Number	:	212-400-6633
Fax Number	:	212-260-5260

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SHARLENE BRONSTORPH
Credential	:
Telephone Number	:	516-850-3999

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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Directions to “TRUE NORTH MEDICAL GROUP PC ” Practice Location

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