Active NPI
Harry Joseph Bonnaire, M.D.
- Family Medicine Physician
- Madison, TN
National Provider Identifier
1083609481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD20429
- Practice address
- 607 W Due West Ave Ste 102
Madison, TN 37115-4420 - Phone
- (615) 868-2229
- Fax
- (615) 868-2432
- NPI assigned
- Sep 13, 2005
- Last updated
- Nov 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD20429 | TN | Primary |
Addresses
Primary practice location
607 W Due West Ave Ste 102
Madison, TN 37115-4420
Mailing address
601 NW Atlantic St
Tullahoma, TN 37388-3536
Phone (931) 393-5112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
607 W Due W Ave
Madison, TN 37115-4420
Phone (615) 868-2229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20429 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Due West Family Healthcare Inc | Family Medicine | Current | Accepting new patients |
| Hopewell Medical | Past | Accepting new patients | |
| Lung Consultants PLLC | Past | Accepting new patients | |
| G.B. Medical Assoicates, Inc. | Family Medicine | Past | Accepting new patients |
| Medical Necessities, Inc | Past | Accepting new patients | |
| Agapee Surgical Associates Inc. | Past | Accepting new patients | |
| Lebanon Health Care Center | Family Medicine | Past | Accepting new patients |
Locations
607 W Due West Ave
Ste 102
Madison, TN 37115
Phone (615) 868-2229
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Madison, TN
- NPI 1457346702
-
dba Tullahoma Advanced Care
- Family Medicine Physician
- Tullahoma, TN
- NPI 1326099060
-
- Surgery Physician
- Madison, TN
- NPI 1891782637
-
- Internal Medicine Physician
- Clarksville, TN
- NPI 1073705745
-
- Family Medicine Physician
- Lebanon, TN
- NPI 1902905573
-
- Pulmonary Disease Physician
- Nashville, TN
- NPI 1174581144
-
- Internal Medicine Physician
- Madison, TN
- NPI 1659305993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1083609481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 NW ATLANTIC ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373883536",
"telephone_number": "931-393-5112",
"fax_number": "931-393-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 W DUE WEST AVE STE 102",
"city": "MADISON",
"state": "TN",
"postal_code": "371154420",
"telephone_number": "615-868-2229",
"fax_number": "615-868-2432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNAIRE",
"first_name": "HARRY",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD20429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.