Provider Demographics
NPI:1811250442
Name:BRONOWSKI, APRIL A (DPT)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:A
Last Name:BRONOWSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:A
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:755 SCOTT CIRCLE
Mailing Address - Street 2:15 MDG
Mailing Address - City:JOINT BASE PEARL HARBOR HICKAM
Mailing Address - State:HI
Mailing Address - Zip Code:96853
Mailing Address - Country:US
Mailing Address - Phone:808-448-6137
Mailing Address - Fax:
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:
Practice Address - City:TRIPLER ARMY MEDICAL CENTER
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-5232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT38920225100000X
HI3672225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGH316ZMedicare PIN