Organization
SIGNIFY HEALTH MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SHAWN BRONKE (MANAGER, PROVIDER ENROLLMENT)
(469) 466-7424
Entity
Organization
Contact information
Practice address
1910 TOWNE CENTRE BLVD STE 250, ANNAPOLIS, MD 21401-3599
(877) 868-5351
(877) 900-5078
Mailing address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(469) 466-7424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/03/2025
Last updated
11/28/2025
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