Bruce G Bonn, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

14653 Issued in DC

Practice address

2311 M St NW
Suite 304
Washington, DC 20037-1445

Phone

(202) 331-0577

Fax

(202) 466-4808

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581
  Medicare reassignment NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063446573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 M ST NW",
            "address_2": "SUITE 304",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371445",
            "telephone_number": "202-331-0577",
            "fax_number": "202-466-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 M ST NW",
            "address_2": "SUITE 304",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371445",
            "telephone_number": "202-331-0577",
            "fax_number": "202-466-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONN",
        "first_name": "BRUCE",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "DC",
            "license": "14653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "3060-0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Bonilla
• Marta Bonilla
• Rosy Madely Bonilla
• Zulma Bonilla
• Josephine Bonkongya
• Emmanuel Richard Bonnecarrere, M.D.
• Faith J Bonner, LGSW
• Leslie Eugene Bonner, DDS
• Shayla Katrice Bonner
• Jordan Bonnette

• Gynecology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Gynecology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.