Individual provider · Type 1 NPI

Mackenzie Bronson, MD

Pediatrics Physician · South Lake Tahoe, CA

NPI number 1992408868 Active

Practice location

2201 South Ave
South Lake Tahoe, CA 96150-7025

Call (530) 543-5550 Map

Fax (530) 542-8734

Mailing address

2170 South Ave
South Lake Tahoe, CA 96150-7026

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XA209246 (CA)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1992408868

Mackenzie Bronson, MD's National Provider Identifier is 1992408868, issued on Mar 22, 2023. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Sep 9, 2026.