Roman Bronfenbrener, MD - Medicare Micrographic Dermatologic Surgery (mds) in Southampton, PA

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Roman Bronfenbrener, MD is a medicare enrolled "Dermatology" physician in Southampton, Pennsylvania. He went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 2012 and has 12 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Dermatology Specialists Of Pennsylvania, University Of Penn - Medical Group and his current practice location is 1122 Street Rd Ste 204, Southampton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 999-7546.

Roman Bronfenbrener is licensed to practice in Pennsylvania (license number MD457011) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134488638.

Contact Information

Roman Bronfenbrener, MD
1122 Street Rd Ste 204,
Southampton, PA 18966-4218
(215) 999-7546
(215) 608-6008

Map and Direction




Physician's Profile

Full NameRoman Bronfenbrener
GenderMale
SpecialityMicrographic Dermatologic Surgery (mds)
Experience12 Years
Location1122 Street Rd Ste 204, Southampton, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Roman Bronfenbrener attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 2012
  NPI Data:
  • NPI Number: 1134488638
  • Provider Enumeration Date: 05/04/2012
  • Last Update Date: 04/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9739478587
  • Enrollment ID: I20160517002499

Medical Identifiers

Medical identifiers for Roman Bronfenbrener such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134488638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery MD457011 (Pennsylvania)Secondary
207N00000XDermatology MD457011 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospital Of Univ Of PennsylvaniaPhiladelphia, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dermatology Specialists Of Pennsylvania42840510792
University Of Penn - Medical Group62047309553031

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Roman Bronfenbrener allows following entities to bill medicare on his behalf.
Entity NameDermatology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477508257
PECOS PAC ID: 0244120756
Enrollment ID: O20040318000445
Entity NameUniversity Of Penn - Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235527342
PECOS PAC ID: 6204730955
Enrollment ID: O20141111000091
Entity NameDermatology Specialists Of Pennsylvania
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790395747
PECOS PAC ID: 4284051079
Enrollment ID: O20200825001534

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roman Bronfenbrener is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roman Bronfenbrener, MD
1122 Street Rd Ste 204,
Southampton, PA 18966-4218

Ph: (215) 999-7546		Roman Bronfenbrener, MD
1122 Street Rd Ste 204,
Southampton, PA 18966-4218

Ph: (215) 999-7546

Reviews and Comments


Dermatology Doctors in Southampton, PA


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