Richard Bonsra Fynn, MD,DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2026030445 Issued in MO

Practice address

12303 Depaul Drive
Bridgeton, MO 63044

Phone

(636) 734-5835

Fax

(314) 344-7258

NPI assigned

Sep 21, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1093366064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BOSTON DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840546076",
            "telephone_number": "385-461-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 DEPAUL DRIVE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "636-734-5835",
            "fax_number": "314-344-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYNN",
        "first_name": "RICHARD",
        "middle_name": "BONSRA",
        "name_prefix": "Dr.",
        "credential": "MD,DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-21",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2026030445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Frey
• Cynthia Fritz, LPC, LCSW
• Emily Ann Fritz
• Laura Renee Fulton, RD, LD
• Sarah Funk
• G. C. Franke, D.O., Inc.
• Sandra J Gage, MA, LPC
• Dinu P Gangure, MD
• Lise Daly Garger, PT
• Vince Anthony Corro Garin, MD

• Foot & Ankle Surgery Podiatrist in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.