David Bronstein Do Richard H Jeffries Do Professional Assoc

Internal Medicine

Allopathic & Osteopathic Physicians

4830 Londonderry Rd, Harrisburg, PA 17109-5207

PECOS Enrollment

Based on the most recent information from CMS, provider David Bronstein Do Richard H Jeffries Do Professional Assoc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1205832177
Provider Type
Organization
Full Name
David Bronstein Do Richard H Jeffries Do Professional Assoc

Subpart
No
Enumeration Date
6/24/2005
Last Updated
7/21/2022

Contact Information

Practice Location

4830 Londonderry Rd, Harrisburg, PA 17109-5207

(717) 657-2595

(717) 441-0116

Mailing Location

4830 Londonderry Rd, Harrisburg, PA 17109-5207

(717) 657-2595

(717) 441-0116

Authorized Official

Bronstein, David (President)

(717) 657-2595

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer Pennsylvania
Code 207RH0003X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer Pennsylvania
Code 207RI0200X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer Pennsylvania
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 2425999	Description Other	Issuer AETNA Pennsylvania
ID 02790500	Description Other	Issuer CAPITAL BLUE CROSS Pennsylvania
ID 133259	Description Other	Issuer PA BLUE SHIELD Pennsylvania
ID CE3282	Description Other	Issuer RR MEDICARE Pennsylvania
ID 0010733600018	Description Medicaid	Issuer Unlisted Pennsylvania

David Bronstein Do Richard H Jeffries Do Professional Assoc

PECOS Enrollment

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