Connie A Bronson
Nurse Practitioner, Family in Bedford, IN. Individual provider (NPI-1).
NPI number1922521608
StatusActive
Last updated in NPPESSep 13, 2022
Details
- NPI
- 1922521608
- Entity type
- Individual (NPI-1)
- Name
- Connie A Bronson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2017
- Certification date
- Sep 13, 2022
- Last updated
- Sep 13, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71007448A | IN | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 71007448A | IN |
Practice location
1141 16th StBedford, IN 47421-3721
Phone 574-536-8874
Mailing address
13090 Petigru DrCarmel, IN 46032-4436
Phone 317-733-8608
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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