Jackie Bronico, M.D., MSC
NPI 1275912164 · Internal Medicine Physician · Cambridge, MA
Enrolled with Medicare as Order and Referring Only - Preventive Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1275912164
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., MSC
- Sex
- Female
- Sole proprietor
- Yes
- License
- TM109 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 75 N Country RdPort Jefferson, NY 11777-2119Phone: (631) 686-2549
Registry dates
- Enumerated
- 2015-05-25
- Last updated
- 2021-01-29
- Certified
- 2021-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.