Look up the most recent NPI and PECOS records

Oleg E. Bronov

Radiology

Allopathic & Osteopathic Physicians

100 N Academy Ave, Danville, PA 17822-7802

PECOS Enrollment

This provider is enrolled in PECOS as OLEG BRONOV.

Based on the most recent information from CMS, provider Oleg E. Bronov is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 33 days ago.

Profile Details

Provider ID
1255333027
Provider Type
Individual
Full Name
Bronov, Oleg E.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/11/2005
Last Updated
6/11/2020

Contact Information

Practice Location

100 N Academy Ave, Danville, PA 17822-7802

(570) 271-6301

Unlisted Fax

Mailing Location

100 N Academy Ave, Danville, PA 17822-4903

(570) 271-6144

(570) 271-6578

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License MD420586 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 001957221	Description Medicaid	Issuer Unlisted Pennsylvania

Oleg E. Bronov

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Meis, David M

Scott, Leslie C.

Chamarthi, Suresh Kumar

Ninalowo, Hammed A

Xiao, Kenan

Collins, Scotty R.

Triffo, William Jeffrey

Rosica, Dillenia

Brown, Charles Stalnaker

Muthuvelu, Manoharan