Compass Nephrology Care, PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

COMPASS NEPHROLOGY CARE, PLLC

Practice address

2685 Executive Park Dr Ste 5
Weston, FL 33331-3651

Phone

(954) 590-0556

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Charles Aaron Bonanno, MDNPI 1447740014

Title

Sole Proprietor

Phone

(954) 590-0556

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Bonanno, MD

  • Nephrology Physician
  • Weston, FL
  • NPI 1447740014
  Medicare reassignment Care Compare group NPD Authorized official
• Maria Camila Bernal, ARNP

  • Acute Care Nurse Practitioner
  • Plantation, FL
  • NPI 1588452098
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1053008318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 EXECUTIVE PARK DR STE 5",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313651",
            "telephone_number": "954-590-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 EXECUTIVE PARK DR STE 5",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313651",
            "telephone_number": "954-590-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10970 Pines Blvd Ste 70",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330265208",
            "country_code": "US",
            "telephone_number": "833-394-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 S Commerce Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313628",
            "country_code": "US",
            "telephone_number": "954-450-8875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3180 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330253005",
            "country_code": "US",
            "telephone_number": "954-433-6990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7769 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246856",
            "country_code": "US",
            "telephone_number": "954-962-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216609",
            "country_code": "US",
            "telephone_number": "833-314-3129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8100 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246734",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11011 Sheridan St Ste 308",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330261532",
            "country_code": "US",
            "telephone_number": "833-345-2334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Oakwood Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330201937",
            "country_code": "US",
            "telephone_number": "833-394-0715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3363 NW 167th St",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330564254",
            "country_code": "US",
            "telephone_number": "833-368-2654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8144 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242000",
            "country_code": "US",
            "telephone_number": "833-380-3139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2685 Executive Park Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313651",
            "country_code": "US",
            "telephone_number": "833-344-2515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Dykes Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330274223",
            "country_code": "US",
            "telephone_number": "833-352-1974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASS NEPHROLOGY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "BONANNO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "954-590-0556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garen Alexander Collett, M.D.
• Emily Gayle Collins
• Willie Collins, RRT
• Ashley Bianca Colon, RBT
• Comfort Care Visits LLC
• Concep Consulting and Services Inc
• Sierra Conine
• Joy Ann Conley
• Viviane F Connor, M.D.
• Consolidated Health Transportation

• Nephrology Physician in Weston, FL
• Providers in Weston, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.