Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Rene Broniste, APN

Individual provider Nurse Practitioner · NPI 1275774440

Jonathan Rene Broniste, APN is a Nurse Practitioner in Lavaca, Arkansas. Qualified in 2008, 18 years ago. Practices with Fands Physical Therapy, Inc, a 217-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
18
Licensed in
AR
In the registry since
2009
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

603 S Division St
Lavaca, AR 72941-4129
Phone: (479) 674-9181
Fax: (479) 674-8105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence A03206 (AR)

Record details

NPI number1275774440
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorYes
NPI enumeratedMarch 17, 2009
Last updated in NPPESSeptember 23, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Fands Physical Therapy, Inc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare