Marta Bonkowski, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301056493 Issued in MI

Legal business name

MARTA BONKOWSKI, M.D., P.C.

Practice address

5105 W Bristol Rd
Flint, MI 48507-2921

Phone

(810) 733-0822

Fax

(810) 733-5567

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marta Z. Bonkowski

Title

Physician

Phone

(810) 733-0822

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1053513184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072921",
            "telephone_number": "810-733-0822",
            "fax_number": "810-733-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072921",
            "telephone_number": "810-733-0822",
            "fax_number": "810-733-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTA BONKOWSKI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "BONKOWSKI",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "810-733-0822",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301056493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1881705382",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Flint, MI
• Providers in Flint, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.