MEDICARE: DR. GEORGE BRONSKY M.D.

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	207V00000X	Obstetrics & Gynecology Physician	ME142110	FL
2	174400000X	Specialist	0101031857	VA
3	207VM0101X	Maternal & Fetal Medicine Physician	D40656	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518034008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE BRONSKY M.D.

Provider Business Mailing Address
First Line	:	3339 TAMIAMI TRL E STE 145
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-5361
Country	:	US
Telephone Number	:	239-252-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3339 TAMIAMI TRL E STE 145
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-5361
Country	:	US
Telephone Number	:	239-252-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	03/26/2025

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Directions to “ DR. GEORGE BRONSKY M.D.” Practice Location

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