Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bronson Nerenberg

Individual provider Emergency Registered Nurse · NPI 1114775145

Bronson Nerenberg is a Nurse Practitioner in Portland, Oregon. Qualified in 2024, 2 years ago. Practices with Providence Health and Services - Oregon, a 218-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 — (503) 494-7551

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 10029069 (OR)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 202002653RN (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114775145
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 6, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address9205 Sw Barnes Rd, Portland, OR 97225-6603

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Providence Health And Services - Oregon — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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