Active NPI
Steven H Bonner, MD
- Psychiatry Physician
- Birmingham, AL
National Provider Identifier
1053334417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 68484
- Practice address
- 2090 Columbiana Road
Suite 4000
Birmingham, AL 35216-2158 - Phone
- (205) 536-8400
- Fax
- (205) 521-7078
- NPI assigned
- Jul 26, 2006
- Last updated
- Apr 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 22502 | AL | |
| Psychiatry Physician | 2084P0800X | 22502 | AL | |
| Psychiatry Physician | 2084P0800X | MD.22502 | AL | |
| Psychiatry Physician | 2084P0800X | 68484 | GA | Primary |
| Psychiatry Physician | 2084P0800X | 35.123406 | OH | |
| Psychiatry Physician | 2084P0800X | MD-41751 | IA | |
| Psychiatry Physician | 2084P0800X | 0101256396 | VA | |
| Psychiatry Physician | 2084P0800X | 2014025047 | MO | |
| Psychiatry Physician | 2084P0800X | 15452 | NV | |
| Psychiatry Physician | 2084P0800X | MD2014-0705 | NM | |
| Psychiatry Physician | 2084P0800X | ME-121239 | FL |
Addresses
Primary practice location
2090 Columbiana Road
Suite 4000
Birmingham, AL 35216-2158
Mailing address
2090 Columbiana Road
Suite 4000
Birmingham, AL 35216-2158
Phone (205) 536-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22502 | AL | MD | Specialist |
| MD.22502 | AL | MD | Psychiatry Physician |
| ME-121239 | FL | MD | Psychiatry Physician |
| 68484 | GA | MD | Psychiatry Physician |
| MD-41751 | IA | MD | Psychiatry Physician |
| 2014025047 | MO | MD | Psychiatry Physician |
| MD2014-0705 | NM | MD | Psychiatry Physician |
| 15452 | NV | MD | Psychiatry Physician |
| 35.123406 | OH | MD | Psychiatry Physician |
| 0101256396 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Psychiatric Services PC | Psychiatry | Past | Accepting new patients |
| Steven H. Bonner M.D.,P,C, | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Northport, AL
- NPI 1396807657
-
- Psychiatry Physician
- Birmingham, AL
- NPI 1033159306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1053334417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 COLUMBIANA ROAD",
"address_2": "SUITE 4000",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352162158",
"telephone_number": "205-536-8400",
"fax_number": "205-521-7078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 COLUMBIANA ROAD",
"address_2": "SUITE 4000",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352162158",
"telephone_number": "205-536-8400",
"fax_number": "205-521-7078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "STEVEN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "22502",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "22502",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "MD.22502",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "68484",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.123406",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "MD-41751",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101256396",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2014025047",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "15452",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "MD2014-0705",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME-121239",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.