Bronicel, Benjamin J

Bronicel, Benjamin J is an individual health care provider with primary practice located at 1460 G St , Springfield OR 97477-4112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bronicel, Benjamin J can be contacted via phone (541) 726-4400.

Contact Information

Primary practice address
1460 G St Springfield OR 97477-4112
Phone: (541) 726-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD23040 Oregon
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X MD23040 Oregon

Profile Details

NPI number 1093769929
LBN Legal business name Bronicel, Benjamin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Nov 30th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093769929 NPPES
Oregon MEDICAID 287655

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