Individual ProviderDavid BronsteinInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4830 Londonderry Rd, Harrisburg, PA 17109-5207(717) 657-2595PECOS EnrollmentBased on the most recent information from CMS, provider David Bronstein does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1194758094Provider TypeIndividualFull NameBronstein, DavidTitleDr.CredentialDOGenderMaleSole ProprietorNoEnumeration Date7/7/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4830 Londonderry Rd, Harrisburg, PA 17109-5207Phone(717) 657-2595Fax(717) 441-0116Mailing LocationMailing Address4830 Londonderry Rd, Harrisburg, PA 17109-5207Phone(717) 657-2595Fax(717) 441-0116Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseOS000511LPennsylvaniaProvider IdentifiersIDDescriptionIssuerID041175DescriptionOtherIssuerHIGHMARK BLUE SHIELDPennsylvaniaID0716072DescriptionMedicaidIssuerUnlistedPennsylvaniaID50001720DescriptionOtherIssuerCAPITAL BLUE CROSSPennsylvania