MARY P BRONNER (MD) – Anatomic Pathology Physician, NPI 1740245299

MARY P BRONNER (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 35083002B (OH). The NPI Number for MARY P BRONNER (MD) is 1740245299

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
MARY P BRONNER (MD)
NPI
1740245299
Phone
(801) 583-2787
Address
500 CHIPETA
Enumeration Date
19 April 2006
Last Update Date
3 December 2021

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
8012132995
Graduation Year
1989 (37 years ago)
PAC ID
4486543352
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20110215000197
Address ID
UT841320100SA50XXXDRXX400

Contacts

Secure Messaging
mbronner55756@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

159 PATHOLOGY in UT

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Provider Addresses for MARY P BRONNER (MD)

  • 500, Chipeta Way, U of U Research Park, Salt Lake City, Salt Lake County, Utah, 84108, United States

    ARUP LABORATORIES

    SALT LAKE CITY, UT 84108

    Phone: (801) 583-2787

    Fax: (801) 581-0735

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-02-15

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
I20110215000197IPathologyUTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity1,119385$0
88342Special stained specimen slides to examine tissue, initial procedure4133$0
88307Pathology examination of tissue using a microscope, moderately high complexity3122$0
88304Pathology examination of tissue using a microscope, moderately low complexity2220$0
88321Surgical pathology consultation and report on referred slides prepared elsewhere1414$0
View full utilization report →

Insurance plans in this area (ZIP 84108)

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Provider's Procedures

MARY P BRONNER (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYUT88342Tissue or cell analysis by immunologic technique3427

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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

What identifier follows MARY P BRONNER (MD) across health systems?
The NPI 1740245299 uniquely identifies MARY P BRONNER (MD) in U.S. healthcare data.
Is MARY P BRONNER (MD)'s NPI status active today?
Active status means MARY P BRONNER (MD)'s NPI record is not deactivated in the public file.
What type of care does MARY P BRONNER (MD) provide?
MARY P BRONNER (MD)'s profile centers on Anatomic Pathology Physician. Clinical services aligned with this taxonomy classification.
Is MARY P BRONNER (MD) tied to Salt Lake City, Utah?
If you are local to Salt Lake City, Utah, MARY P BRONNER (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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