1. Home
  2. Directory
  3. Illinois
  4. Maywood
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. BRONWYN GILLIAN LONG
NPI 1326676305
Student in an Organized Health Care Education/Training Program in Maywood, IL

Active since March 27, 2020PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-6901 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bronwyn Gillian Long NPPES

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

DR. BRONWYN GILLIAN LONG (NPI 1326676305) is an individual student in an organized health care education/training program in Maywood, Illinois and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2019).

NPPES Registry Identity

NPI1326676305
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. BRONWYN GILLIAN LONG
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-6901
Phone(708) 216-6901
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2019
Enumeration DateMarch 27, 2020
NPPES CertifiedMarch 27, 2020
✔ NPI 1326676305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
2160 S 1ST AVE, Maywood, IL 60153
Open in Google Maps ↗

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. Bronwyn Gillian Long is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991260275
PECOS Enrollment IDI20260717000266
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.

ANITA OZA NAGAMINE M.D.
Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. BRYCE ANDREW PASCHOLD D.P.M.
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-4254
DR. ANTONIO HERNANDO IGLESIAS M.D.
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
IAN CHARLES MCCOMB
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
JAMES WU D.O.
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PAIGE T SONG MD
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888
ELIZABETH CHO
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-1274
DR. CATHRYN T SAWALSKI DO, MBA
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888

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 Bronwyn Long's NPI number?

The NPI number for Bronwyn Long is 1326676305. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Bronwyn Long located?

Bronwyn Long practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-6901.

What is Bronwyn Long's specialty?

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

Is Bronwyn Long enrolled in Medicare?

Yes. Bronwyn Long is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bronwyn Long was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.