Active NPI
Eric Gunn Bonenberger, M.D.
- Orthopaedic Surgery Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME91706
- Practice address
- 25 W Crystal Lake St
Suite 200
Orlando, FL 32806-4475 - Phone
- (407) 254-2500
- Fax
- (407) 254-2557
- NPI assigned
- Feb 6, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME91706 | FL | Primary |
Addresses
Primary practice location
25 W Crystal Lake St
Suite 200
Orlando, FL 32806-4475
Mailing address
25 W Crystal Lake St
Suite 200
Orlando, FL 32806-4475
Phone (407) 254-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2741083-00 | Medicaid | FL | |
| 554793681A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Orthopedic Surgery
- Education
- State University of New York at Buffalo School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
1300 Oviedo Mall Blvd
Oviedo, FL 32765-7418
Phone (407) 977-3500
13838 Tilden Rd
Winter Garden, FL 34787-5318
Phone (407) 254-2500
25 W Crystal Lake St
Suite 200
Orlando, FL 32806-4476
Phone (407) 254-2500
2699 Lee Rd
Suite 100
Winter Park, FL 32789-1738
Phone (407) 897-1363
6424 Alexandra Louise Dr
Suite 200
Orlando, FL 32827-5814
Phone (407) 418-0582
Hospital & facility affiliations
- Centerwell Home Health
- Kindred at Home
- Centerwell Home Health
- Tehc LLC
- Centerwell Home Health
- Orlando Health
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.31 of 100
- Quality
- 88.59
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 66 |
| Knee replacement | 104 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME91706 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Orthopaedic Center MD PA | Orthopaedic Surgery | Current | Accepting new patients |
| Orlando Orthopaedic Center MD PA | Orthopaedic Surgery | Current | Accepting new patients |
| Orlando Orthopaedic Center MD PA | Orthopaedic Surgery | Current | Accepting new patients |
Locations
6424 Alexandra Louise Dr
Ste 200
Orlando, FL 32827
Phone (407) 418-0582
7350 Sandlake Commons Blvd
Ste 3315
Orlando, FL 32819
Phone (407) 354-3700
25 W Crystal Lake St
Ste 200
Orlando, FL 32806
Phone (407) 254-2500
1300 Oviedo Mall Blvd
Oviedo, FL 32765
Phone (407) 977-3500
2699 Lee Rd
Ste 100
Winter Park, FL 32789
Phone (407) 897-1363
Interoperability endpoints
- eric.bonenberger.p1@direct.ooc.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Orlando, FL
- NPI 1740252899
-
- Orthopaedic Surgery Physician
- Orlando, FL
- NPI 1164154407
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Casselberry, FL
- NPI 1780116343
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Orlando, FL
- NPI 1023045390
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- Home Health Agency
- The Villages, FL
- NPI 1134153836
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Home Health Agency
- Winter Haven, FL
- NPI 1235180274
-
- Home Health Agency
- Lake Mary, FL
- NPI 1679524615
-
- Home Health Agency
- Rockledge, FL
- NPI 1629080593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1104898055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 W CRYSTAL LAKE ST",
"address_2": "SUITE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064475",
"telephone_number": "407-254-2500",
"fax_number": "407-254-2557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W CRYSTAL LAKE ST",
"address_2": "SUITE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064475",
"telephone_number": "407-254-2500",
"fax_number": "407-254-2557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONENBERGER",
"first_name": "ERIC",
"middle_name": "GUNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME91706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2741083-00",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "554793681A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.