Provider Demographics
NPI:1285829119
Name:ANDREW J BRONSTEIN MD PC
Entity Type:Organization
Organization Name:ANDREW J BRONSTEIN MD PC
Other - Org Name:THE BRONSTEIN HAND CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRONSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-458-4263
Mailing Address - Street 1:10135 W TWAIN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6720
Mailing Address - Country:US
Mailing Address - Phone:702-458-4263
Mailing Address - Fax:702-562-2706
Practice Address - Street 1:10135 W TWAIN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147
Practice Address - Country:US
Practice Address - Phone:702-458-4263
Practice Address - Fax:702-562-2706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV104556Medicare PIN
NV3948190001Medicare NSC