| James Boyd Bronson Ii, DO | |
|
1220 Jefferson St, Laurel, MS 39440-4355 | |
| (601) 426-4000 | |
| Not Available |
| Full Name | James Boyd Bronson Ii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1220 Jefferson St, Laurel, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205274230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25576 (Mississippi) | Primary |
| Entity Name | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| Entity Name | App Of Mississippi Ed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Mailing Address | Practice Location Address |
|---|---|
| James Boyd Bronson Ii, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000 | James Boyd Bronson Ii, DO 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (601) 426-4000 |
Dr. Mona Genelle Pernia, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6281 | |
Edmund Chinchar, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 | |
Teresa Randelle Camp-rogers, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6281 | |
Dr. Michael Gast, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6184 | |
Rebekah Kollar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-426-4105 | |
Dr. George M Loukatos, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4415 |