ERIC E BRONI
NPI 1104612621
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since April 21, 2025PECOS Enrolled
20 YORK ST, NEW HAVEN, CT 06510(203) 688-3220 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric E Broni NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC E BRONI (NPI 1104612621) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104612621
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameERIC E BRONI
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4242
Sole ProprietorNo
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
NPI 1104612621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
20 YORK ST, New Haven, CT 06510

Other Names 1

Other Name (5)Eric Edem Kwame Broni

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eric E Broni is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Broni's NPI number?

The NPI number for Eric Broni is 1104612621. It was assigned to this individual provider in the NPPES registry on April 21, 2025. The provider is also known as Eric Edem Kwame Broni.

Where is Eric Broni located?

Eric Broni practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-3220.

What is Eric Broni's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Eric Broni enrolled in Medicare?

Yes. Eric Broni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eric Broni was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.