KIRSTEN N BRONDSTATER PA
NPI 1275749053
Physician Assistant - Medical in Winter Park, FL

Q: What is Kirsten Brondstater's NPI number?

The NPI number for Kirsten Brondstater is 1275749053. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is Kirsten Brondstater's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since May 16, 2007PECOS Enrolled

1605 W FAIRBANKS AVE, WINTER PARK, FL 32789(407) 975-0200(407) 975-0209 Get Directions Write a Review

NPPES record last updated: September 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kirsten N Brondstater Pa NPPES

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

KIRSTEN N BRONDSTATER PA (NPI 1275749053) is an individual medical provider in Winter Park, Florida, licensed in Florida (9107257) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275749053

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKIRSTEN N BRONDSTATERCredential: PA

Location Address1605 W FAIRBANKS AVEWinter Park, FL 32789-4603

Mailing Address1605 W Fairbanks AveWinter Park, FL 32789-4603 · (407) 975-0200 · Fax (407) 975-0209

Phone(407) 975-0200

Fax(407) 975-0209

Sole ProprietorNo

Enumeration DateMay 16, 2007

Last NPPES UpdateSeptember 20, 2013

✔ NPI 1275749053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · 9107257

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0110002279 (VA)

1605 W FAIRBANKS AVE, Winter Park, FL 32789

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Other Identifiers 3

Medicare PINHM254ZFL

Medicare PINMC10565VA

OtherP00657230VA · Medicare Rr

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirsten N Brondstater Pa 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.

MRS. SHAMIM A HASAN PA-C

Physician Assistant