Dr. Mark Richard Bronson
Chiropractor Orthopedic Specialist
5521 Bellaire Dr S Suite 100
Benbrook
, Texas 76109-8838
Dr. Mark Richard Bronson
Chiropractor Orthopedic Specialist
5521 Bellaire Dr S Suite 100
Benbrook
, Texas 76109-8838
(817) 732-4441
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Dr. Mark Richard Bronson
- 5521 Bellaire Dr S Suite 100
- Benbrook, TX
- Zip : 76109-8838
- Phone : (817) 732-4441
Second Address
- Dr. Mark Richard Bronson
- 5521 Bellaire Dr S Suite 100
- Benbrook, TX
- Zip : 76109-8838
- Phone : (817) 732-4441
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 4065 | TX |
National Provider Identifier
| NPI | 1396719472 |
|---|---|
| Provider Name | Dr. Mark Richard Bronson |
| First Address | Benbrook, TX 76109-8838 |
| Second Address | Benbrook, TX 76109-8838 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2006 |
| Last Update Date | 20/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001251001 | (05) | TX |
| 4065 | STATE LICENSE (01) | TX |
| 751839034 | TAX ID (01) | TX |
| T12385 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.