DAVID NEIL BRONAUGH (P.A.C.) – Physician Assistant, NPI 1447358254

DAVID NEIL BRONAUGH (P.A.C.) is a healthcare provider. based in Snellville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.C.. They hold a License No. 003371 (GA). The NPI Number for DAVID NEIL BRONAUGH (P.A.C.) is 1447358254

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DAVID NEIL BRONAUGH (P.A.C.)
NPI
1447358254
Phone
(770) 978-1331
Address
3020 HIGHWAY 124
Enumeration Date
20 September 2006
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
9739358151
Group Practice PAC ID
4981693314
Professional Enrollment ID
I20110801000628
Address ID
GA300394614Sn3020X124X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for DAVID NEIL BRONAUGH (P.A.C.)

  • 3020 HIGHWAY 124

    SNELLVILLE, GA 300394614

    Phone: (770) 978-1331

    Fax: (770) 978-8580

    Type: Location

  • Chamblee Tucker Family Medical Center, 3163, Tucker Norcross Road, Norcross, DeKalb County, Georgia, 30084, United States

    TUCKER, GA 300842124

    Phone: (770) 939-6000

    Type: Location

  • 640, Roland Manor Drive, Dacula, Gwinnett County, Georgia, 30019, United States

    DACULA, GA 300196512

    Phone: (678) 376-0525

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 160 Open Payments records for all available years, with a total value of $3,316.

Total Amount is formed as General ($3,316) + Research ($0) + Ownership ($0) = $3,316.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($700).

Total Amount

$3,316

General + Research + Ownership

Payments

160

Total payment records

General Amount

$3,316

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110801000628IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30039)

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Provider's Procedures

DAVID NEIL BRONAUGH (P.A.C.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA81002Urinalysis, manual test1514

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981693314View full group profile
NameSpecialtyState
Nurse PractitionerGA
Geriatric Medicine, Internal MedicinePA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Family PracticeSC
Family Practice, Geriatric MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for DAVID NEIL BRONAUGH (P.A.C.) in U.S. healthcare records?
The official identifier for DAVID NEIL BRONAUGH (P.A.C.) is NPI 1447358254.
Active or inactive — what applies to DAVID NEIL BRONAUGH (P.A.C.)?
You should see DAVID NEIL BRONAUGH (P.A.C.) as active in CMS-hosted NPPES data.
What kind of doctor is DAVID NEIL BRONAUGH (P.A.C.)?
DAVID NEIL BRONAUGH (P.A.C.) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DAVID NEIL BRONAUGH (P.A.C.)?
Travel planning: use Snellville, Georgia as the reference point for DAVID NEIL BRONAUGH (P.A.C.), then confirm.
When was this NPI issued?
Enumeration for DAVID NEIL BRONAUGH (P.A.C.) is noted as September 20, 2006 where the registry provides it.

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