Active NPI
Brent James Bonfiglio, RN
- Case Management Registered Nurse
- Springfield, MA
National Provider Identifier
1124493812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN2288861
- Practice address
- 3550 Main St
Springfield, MA 01107-1089 - Phone
- (413) 858-7400
- Fax
- (413) 746-0380
- NPI assigned
- Dec 7, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN2288861 | MA | Primary |
Addresses
Primary practice location
3550 Main St
Springfield, MA 01107-1089
Mailing address
3550 Main St
Springfield, MA 01107-1089
Phone (413) 858-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2288861 | MA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1124493812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071089",
"telephone_number": "413-858-7400",
"fax_number": "413-746-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071089",
"telephone_number": "413-858-7400",
"fax_number": "413-746-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONFIGLIO",
"first_name": "BRENT",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MA",
"license": "RN2288861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.