THOMAS P BRONER D.P.M.
NPI 1790740314
Podiatrist - Foot & Ankle Surgery in Jacksonville, FL

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
5301 PINE NOTCH PL, JACKSONVILLE, FL 32224(904) 472-6536(904) 895-6056 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2024, Aug 19, 2021, Jul 1, 2020 and 1 more (4 updates tracked since 2020).

About Thomas P Broner D.p.m. NPPES

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

THOMAS P BRONER D.P.M. (NPI 1790740314) is an individual foot & ankle surgery provider in Jacksonville, Florida, licensed in Florida (PO0924) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center Beaches, and is a graduate of Kent State University College Of Podiatric Medicine (1976).

NPPES Registry Identity

NPI1790740314
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameTHOMAS P BRONERCredential: D.P.M.
Location Address5301 PINE NOTCH PLJacksonville, FL 32224-4411
Mailing Address5301 Pine Notch PlJacksonville, FL 32224-4411 · (904) 251-5053 · Fax (904) 895-6056
Fax(904) 895-6056
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1976
Enumeration DateApril 18, 2006
Last NPPES UpdateApril 17, 20244 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
NPI 1790740314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in FL · PO0924
Also ListedPodiatristTaxonomy 213E00000X · License PO924 (FL)
5301 PINE NOTCH PL, Jacksonville, FL 32224

Other Identifiers 1

Medicaid041050100FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thomas P Broner D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860580966
PECOS Enrollment IDI20110203001041
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
73 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

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 Thomas Broner's NPI number?

The NPI number for Thomas Broner is 1790740314. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Thomas Broner located?

Thomas Broner practices at 5301 Pine Notch Pl, Jacksonville, FL 32224. The listed phone number is (904) 472-6536.

What is Thomas Broner's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Thomas Broner enrolled in Medicare?

Yes. Thomas Broner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Thomas Broner affiliated with any hospitals?

According to CMS data, Thomas Broner is affiliated with Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Thomas Broner was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.