Individual provider Active NPI

Eric Gunn Bonenberger, M.D.

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1104898055
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME91706 Issued in FL
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

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2741083-00MedicaidFL
554793681AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071031000598 FL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1759478191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
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, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Orthopaedic Center MD PAGroup PAC ID 3678562840, 45 clinicians

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 Home health agency, Orlando, FL, CCN 107234
  • Kindred at Home Home health agency, Lake Mary, FL, CCN 107739
  • Centerwell Home Health Home health agency, The Villages, FL, CCN 108045
  • Tehc LLC Home health agency, Rockledge, FL, CCN 107718
  • Centerwell Home Health Home health agency, Winter Haven, FL, CCN 107534
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
90.31 of 100Reported as group
Quality
88.59
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement66
Knee replacement104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME91706FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Orthopaedic Center MD PA Orthopaedic Surgery Current Accepting new patients
Orlando Orthopaedic Center MD PA Orthopaedic Surgery CurrentSince Aug 1, 2008 Accepting new patients
Orlando Orthopaedic Center MD PA Orthopaedic Surgery CurrentSince Aug 1, 2008 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

  • Direct secure messaging: eric.bonenberger.p1@direct.ooc.nextgenshare.com
  • FHIR API: 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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.