| Dr Alberto Broniscer, MD | |
|
262 Danny Thomas Place, Ms 0515, St. Jude Children's Research Hospital, Memphis, TN 38105-3678 | |
| (901) 595-3006 | |
| (901) 595-3842 |
| Full Name | Dr Alberto Broniscer |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Hematology-oncology |
| Location | 262 Danny Thomas Place, Ms 0515, Memphis, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184627382 | NPI | - | NPPES |
| 009905345 | Medicaid | AL | |
| 563072 | Medicaid | IA | |
| 360488800 | Medicaid | MN | |
| 64056849 | Medicaid | KY | |
| 2524085 | Medicaid | OH | |
| 0071961 | Medicaid | MT | |
| 200400610A | Medicaid | IN | |
| 00126518 | Medicaid | MS | |
| 0030341 | Medicaid | NJ | |
| 205951007 | Medicaid | MO | |
| 200336060A | Medicaid | KS | |
| 3496709 | Medicaid | TN | |
| 104677849 | Medicaid | MI | |
| 1136395 | Medicaid | LA | |
| 804030 | Medicaid | AZ | |
| 100847840A | Medicaid | OK | |
| 186358377A | Medicaid | GA | |
| 422400000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 36398 (Tennessee) | Primary |
| Entity Name | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alberto Broniscer, MD 262 Danny Thomas Place, Ms 0515, St. Jude Children's Research Hospital, Memphis, TN 38105-3678 Ph: (901) 595-3006 | Dr Alberto Broniscer, MD 262 Danny Thomas Place, Ms 0515, St. Jude Children's Research Hospital, Memphis, TN 38105-3678 Ph: (901) 595-3006 |
Dr. Andrew Buchman Nearn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2861 Broad Ave, Memphis, TN 38112 Phone: 901-701-2520 Fax: 901-325-6469 | |
Mimily Harsono, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-545-7100 | |
Mr. Alberto S. Pappo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-6765 Fax: 901-521-9005 | |
Edson Ruiz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-5950 | |
Dr. Darlene K Cash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Humphreys Blvd, Memphis, TN 38120 Phone: 901-322-9080 Fax: 901-322-2994 | |
Dr. Monika Metzger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl # Ms 515, C/o Dana Cannon, Memphis, TN 38105 Phone: 901-595-3006 Fax: 901-595-3842 | |
Benjamin R Waller Iii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 51 N Dunlap St Fl 2, Memphis, TN 38105 Phone: 901-287-7337 Fax: 901-287-4646 |