Individual Healthcare Provider
Carly Anne Bronson, R.N., NP
Provider's NPPES record last updated: August 3, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1962628719
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Big Bear Lake, California
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 11:47 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X General Acute Care Hospital
Hospitals
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Taxonomy code 282N00000X
Provider-Reported License Information
- Nurse Practitioner (California)
- 95001879
- General Acute Care Hospital (Vermont)
- 101-0033221
- Nurse Practitioner (New Hampshire)
- 060326-23
- Nurse Practitioner (Ohio)
- COA.12102-NP
Practice Locations
Practice Location
41820 Garstin Dr.
Big Bear Lake, California 92315
Phone: (909) 878-8246
Additional Practice Location
1028 W Big Bear Blvd
Big Bear City, California 92314-9562
Phone: (909) 878-8227
Additional Practice Location
42683 Moonridge Rd
Big Bear Lake, California 92315
Phone: (909) 436-8197
Record Information
- Enumeration Date
- April 18, 2007
- Provider's NPPES Record Last Updated
- August 3, 2023
- Certification Date
- August 1, 2023
- NPISignal NPPES Dataset
- August 2026
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