Provider Demographics
NPI:1649522657
Name:SCOTT, BRONTE' A (PA-C)
Entity type:Individual
Prefix:MS
First Name:BRONTE'
Middle Name:A
Last Name:SCOTT
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4539 N 22ND ST STE N
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4639
Mailing Address - Country:US
Mailing Address - Phone:602-428-1037
Mailing Address - Fax:
Practice Address - Street 1:2737 W BASELINE RD
Practice Address - Street 2:SUITE 24
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1051
Practice Address - Country:US
Practice Address - Phone:602-437-4800
Practice Address - Fax:602-437-4805
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5293363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant