Brian C. Bonser, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04376 Issued in TX

Practice address

2209 N Bedell Ave
Del Rio, TX 78840-8007

Phone

(830) 774-3000

Fax

(830) 774-0890

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/pecosge-108ad8cb

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dallam-Hartley Counties Hospital District

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1245353747

  Physician Assistant, TX

  Medicare reassignment NPD
• Austin Travis County Mental Health and Mental Retardation Center

  • Home Health Agency
  • Austin, TX
  • NPI 1831393990
  NPD
• Dallam-Hartley Counties Hospital District

  • Land Ambulance
  • Dalhart, TX
  • NPI 1689032856
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1043370992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408007",
            "telephone_number": "830-774-3000",
            "fax_number": "830-774-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408007",
            "telephone_number": "830-774-3000",
            "fax_number": "830-774-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSER",
        "first_name": "BRIAN",
        "middle_name": "C.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Blackstone, RPH.
• Stephanie Blancarte, LCSW
• Raymond Keith Blottin, LPC
• Brandan Conice Boenicke, PA
• Jamie Garcia Bonnes, FNP-BC
• Hannah L Booth, MS, CCC-SLP
• Borderland Home Health Care
• Jose Guadalupe Briones, OPTICIAN
• Broad Horizon Imaging, Inc.
• Melinda Brown, RN MSN

• All providers in Del Rio, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.