DR. LESLIE BRONNER (NPI# 1184707325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184707325 |
| Entity Type | Individual |
| Full Name | DR. LESLIE BRONNER |
| Credential | MD |
| Practice Address |
1012 Oberlin Road Suite 300 Raleigh NC 27605-1135 |
| Mailing Address |
3125 Poplarwood Ct. Suite 203 Raleigh NC 27604-6445 |
| Practice Telephone | 9197876131 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2009-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
89127 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2004-01372 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1012 OBERLIN ROAD, SUITE 300 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27605-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982195509 | Kelsey Luvender Garner | Counselor | 1405 Hillsborough St # 104, Raleigh, NC 27605 | 2018-05-21 |
| 1760972046 | Brandi Teetor | Social Worker | 801 Oberlin Rd Ste 310, Raleigh, NC 27605 | 2018-05-13 |
| 1497264188 | Jasmine Campbell | Behavior Technician | 505 Oberlin Road, 230, Raleigh, NC 27605 | 2017-09-25 |
| 1487087722 | Cornelius Toliver | Pharmacist | 815 Oberlin Road, Raleigh, NC 27605 | 2013-08-09 |
| 1811218449 | Pushpesh Bhandari | Pharmacist | 501 Woodburn Rd, Raleigh, NC 27605 | 2010-06-17 |
| 1275627739 | Paige Corinne Tharrington | Counselor | 800 St. Mary's Street, Suite 401, Raleigh, NC 27605 | 2006-10-02 |
| 1699740118 | Mary Sue Huelsbeck | Psychologist | 629 Oberlin Road, Raleigh, NC 27605 | 2006-02-19 |
| 1245215177 | Ashley H Lloyd | Dentist | 1330 St. Marys St, Suite B30, Raleigh, NC 27605 | 2005-12-14 |
| 1457814709 | Hannah Rose Tucker | Physical Therapist | 815 Oberlin Rd Ste 302, Raleigh, NC 27605 | 2019-04-12 |
| 1235676578 | Ian Brown | Physician Assistant | 815 Oberlin Road, #200, Raleigh, NC 27605 | 2017-01-25 |
| Find all providers in zip 27605 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962578047 | Marcelo Enrique Lopez-claros | Family Medicine | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699089 | Kellogg Medical Pllc | Family Medicine | 10352 Park Rd, Charlotte, NC 28210-8401 | 2020-02-03 |
| 1902441041 | High Country Recovery | Family Medicine | 838 State Farm Rd Ste B, Boone, NC 28607-5307 | 2019-11-13 |
| 1811421381 | Victoria Ingram Windley | Family Medicine | 44 Wendy Ct, Kernersville, NC 27284-9095 | 2017-04-12 |
| 1437325446 | Cauveh Erami | Family Medicine | 2200 Clyborn Church Rd, Lumberton, NC 28360-9356 | 2008-04-30 |
| 1992847412 | James Walter Finch | Family Medicine | 910 Broad St, Durham, NC 27705-4142 | 2007-02-12 |
| 1578616470 | Celia Lauren Spillmann | Family Medicine | 417 N Main St Ste B, Salisbury, NC 28144-4358 | 2007-01-22 |
| 1902856065 | Wendell Lewis Randall | Family Medicine | 651 S Main St, Dobson, NC 27017-8432 | 2006-05-11 |
| 1407481732 | Rapha Healthcare Services - Lab | Family Medicine | 4411 Ben Franklin Blvd, Durham, NC 27704-2147 | 2020-03-06 |
| 1194361923 | Wilmington Family Practice Pllc | Family Medicine | 201 N Front St Ste 102, Wilmington, NC 28401-4055 | 2019-11-27 |
| 1194382945 | Mobile Fnp Jrjohnson | Family Medicine | 236 N Mebane St Ste 123, Burlington, NC 27217-3900 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.