Provider Demographics
NPI:1760402895
Name:BRONSKY, ERIC STEIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:STEIN
Last Name:BRONSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 HILL MONUMENT PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-3905
Mailing Address - Country:US
Mailing Address - Phone:804-523-7969
Mailing Address - Fax:
Practice Address - Street 1:411 WEST RANDOLPH RD
Practice Address - Street 2:JOHN RANDOLPH MEDICAL CENTER
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860
Practice Address - Country:US
Practice Address - Phone:804-541-7505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44661207P00000X
VA0101237631207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine