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

Jonathan Rene Broniste, APN

Individual provider Nurse Practitioner · NPI 1275774440

Jonathan Rene Broniste, APN is a Nurse Practitioner in Lavaca, Arkansas. Qualified in 2008, 18 years ago. Practices with Fands Physical Therapy, Inc, a 217-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
18
Licensed in
AR
In the registry since
2009
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

603 S Division St
Lavaca, AR 72941-4129
Phone: (479) 674-9181
Fax: (479) 674-8105
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence A03206 (AR)

Record details

NPI number1275774440
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorYes
NPI enumeratedMarch 17, 2009
Last updated in NPPESSeptember 23, 2015
Mailing address603 S Division St, Lavaca, AR 72941-4129

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Fands Physical Therapy, Inc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare