JEREMY STEPHEN BRONG (NPI# 1720411887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720411887 |
| Entity Type | Individual |
| Full Name | JEREMY STEPHEN BRONG |
| Credential | LPN |
| Practice Address |
5 Grange Pl Apt B Cortland NY 13045-1332 |
| Practice Telephone | 6077490267 |
| Mailing Telephone | 6077490267 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 300034-1 | NY | Nursing Service Providers |
| Street Address |
5 GRANGE PL APT B |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922641240 | Stefanie Nicole Courtney | Licensed Practical Nurse | 812 W State Rd, Cortland, NY 13045-9180 | 2019-10-18 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1831511732 | Jan Irene Rice | Licensed Practical Nurse | 29 Cleveland St Apt L, Cortland, NY 13045-2330 | 2014-01-10 |
| 1114358553 | Alice Mclaughlin | Licensed Practical Nurse | 989 Blue Creek Rd, Cortland, NY 13045-8113 | 2013-12-11 |
| 1174959696 | Tamara Lee Hammond | Licensed Practical Nurse | 416 W Hill Rd, State Rte 90, Cortland, NY 13045-8116 | 2013-09-16 |
| 1306284559 | Nicholas Dabbracci | Licensed Practical Nurse | 81 Lincoln Ave, Cortland, NY 13045-1933 | 2013-06-10 |
| 1083957617 | Lindsey Morrison | Licensed Practical Nurse | 148 Willow Ave, Cortland, OH 44410-1246 | 2013-04-02 |
| 1265778567 | Laurie L Deuel | Licensed Practical Nurse | 234 Hinman Rd, Cortland, NY 13045-8938 | 2012-12-14 |
| 1043564396 | Charlene Mary Gore | Licensed Practical Nurse | 488 N High St, Cortland, OH 44410-1025 | 2012-11-07 |
| 1801148937 | Kristen Elizabeth Gregory | Licensed Practical Nurse | 12 1/2 Pendleton St, Cortland, NY 13045-2211 | 2012-10-13 |
| Find all providers in CORTLAND | ||||
Please comment or provide details below to improve the information on JEREMY STEPHEN BRONG.
| 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.