1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Pediatrics
  6. NPI Profile

DR. ALBERTO BRONISCER MD
NPI 1184627382
Pediatrics - Pediatric Hematology-Oncology in Memphis, TN

Active since May 23, 2005PECOS Enrolled
262 DANNY THOMAS PLACE, MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN 38105(901) 595-3006(901) 595-3842 Get Directions Write a Review

NPPES record last updated: April 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alberto Broniscer Md NPPES

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

DR. ALBERTO BRONISCER MD (NPI 1184627382) is an individual pediatric hematology-oncology provider in Memphis, Tennessee, licensed in Tennessee (36398) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184627382
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. ALBERTO BRONISCERCredential: MD
Location Address262 DANNY THOMAS PLACE, MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITALMemphis, TN 38105-3678
Mailing Address262 Danny Thomas Place, Ms 0515, St. Jude Children's Research HospitalMemphis, TN 38105-3678 · (901) 595-3006 · Fax (901) 595-3842
Phone(901) 595-3006
Fax(901) 595-3842
Sole ProprietorNo
Enumeration DateMay 23, 2005
Last NPPES UpdateApril 5, 2011
✔ NPI 1184627382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in TN · 36398
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
262 DANNY THOMAS PLACE, MS 0515, Memphis, TN 38105
Open in Google Maps ↗

Other Identifiers 19

Medicaid2524085OH
Medicaid563072IA
Medicaid205951007MO
Medicaid422400000ME
Medicaid009905345AL
Medicare UPINH62912TN
Medicaid0071961MT
Medicaid104677849MI
Medicaid3496709TN
Medicaid0030341NJ
Medicaid360488800MN
Medicaid804030AZ
Medicaid00126518MS
Medicaid100847840AOK
Medicaid1136395LA
Medicaid64056849KY
Medicaid186358377AGA
Medicaid200336060AKS
Medicaid200400610AIN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alberto Broniscer Md 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 4

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

DR. GEORGE B BIKHAZI MD
Anesthesiology
262 DANNY THOMAS PLACE, MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITAL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
DR. LAURA L BURGOYNE MD
Anesthesiology
262 DANNY THOMAS PLACE, MS 0515, C/O DANA CANNON
MEMPHIS, TN 38105
Shelby County (901) 595-3006
MS. PENNY BECKHAM CRNA
Nurse Anesthetist, Certified Registered
262 DANNY THOMAS PLACE, MS 0515, C/O DANA CANNON
MEMPHIS, TN 38105
Shelby County (901) 595-3006
DR. ANDREW M. DAVIDOFF MD
Surgery (Pediatric Surgery)
262 DANNY THOMAS PLACE, MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITAL
MEMPHIS, TN 38105
Shelby County (901) 595-3006

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 Alberto Broniscer's NPI number?

The NPI number for Alberto Broniscer is 1184627382. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Alberto Broniscer located?

Alberto Broniscer practices at 262 Danny Thomas Place, Ms 0515 St. Jude Children's Research Hospital, Memphis, TN 38105. The listed phone number is (901) 595-3006.

What is Alberto Broniscer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Alberto Broniscer enrolled in Medicare?

Yes. Alberto Broniscer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alberto Broniscer was last updated on April 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.