MEDICARE: BRONX VAMC

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	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1316996630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRONX VAMC

Provider Business Mailing Address
First Line	:	PO BOX 94433
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-4433
Country	:	US
Telephone Number	:	717-277-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 W KINGSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-3904
Country	:	US
Telephone Number	:	717-277-6565
Fax Number	:

Authorized Official
Title or Position	:	NPI TEAM
Name	:	ERIN DENISE POTTER
Credential	:
Telephone Number	:	207-300-3622

Provider Enumeration Date	:	05/06/2006
Last Update Date	:	02/13/2026

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Directions to “BRONX VAMC ” Practice Location

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