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

Derek Carl Bronson

Individual provider Physician Assistant · NPI 1962932343

Derek Carl Bronson is a Physician Assistant in Caldwell, Idaho. Qualified in 2019, 7 years ago. Practices with Vituity - Urgent Care Services PC, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2017

Practice location Address checks out

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone: (208) 459-4641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962932343
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2017
Last updated in NPPESDecember 28, 2021
Certification dateAugust 26, 2021
Mailing address1800 Harrison St, Fl 7, Oakland, CA 94612-3466

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Vituity - Urgent Care Services Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Caldwell