Individual provider Active NPI

Eric Gunn Bonenberger, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1104898055
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
ME91706 Issued in FL
Practice address
25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Phone
(407) 254-2500
Fax
(407) 423-2789
NPI assigned
Feb 6, 2006
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X ME91706 FL Primary
Orthopaedic Surgery Physician 207X00000X ME91706 FL

Addresses

Primary practice location

25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476

Mailing address

25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Phone (407) 254-2500

Other practice location 1

1300 Oviedo Mall Blvd
Oviedo, FL 32765-7418
Phone (407) 977-3500

Other practice location 2

13838 Tilden Rd
Winter Garden, FL 34787-5318
Phone (407) 287-9113

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

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
ME91706FLMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

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

Locations

25 W Crystal Lake St
Ste 200
Orlando, FL 32806
Phone (407) 254-2500

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1791331200000",
    "number": "1104898055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W CRYSTAL LAKE ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064476",
            "telephone_number": "407-254-2500",
            "fax_number": "407-423-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W CRYSTAL LAKE ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064476",
            "telephone_number": "407-254-2500",
            "fax_number": "407-423-2789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Oviedo Mall Blvd",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327657418",
            "country_code": "US",
            "telephone_number": "407-977-3500",
            "fax_number": "407-977-1128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13838 Tilden Rd",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347875318",
            "country_code": "US",
            "telephone_number": "407-287-9113",
            "fax_number": "407-480-4556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "ME91706",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME91706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.