John Bonchak, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H5843 Issued in TX

Practice address

Sam Rayburn Memorial Veterans Center
1201 E.9TH St.
Bonham, TX 75418-2228

Phone

(903) 583-2111

Fax

(903) 583-6709

NPI assigned

Jul 26, 2006

Last updated

Jul 16, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1144244252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E 9TH ST",
            "address_2": "SAM RAYBURN MEMORIAL VETERANS CENTER",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184059",
            "telephone_number": "903-583-2111",
            "fax_number": "903-583-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAM RAYBURN MEMORIAL VETERANS CENTER",
            "address_2": "1201 E.9TH ST.",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754182228",
            "telephone_number": "903-583-2111",
            "fax_number": "903-583-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONCHAK",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H5843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Brendon Beualieu
• Lawton Biggers, RN
• Lillie Heidari Bigvand, NP-C
• Patricia L. Blackard, M.S., CCC-SLP
• Bois D'Arc Emergency Physicians
• Lacey Gail Bonewitz, LCSW
• Bonham Anesthesia Management Services LLC
• Bonham Family Drug, LLC (Bonham Family Drug)
• Bonham Family Drug, LLC (Bonham Family Drug)
• Bonham I Enterprises, L.L.C. (Seven Oaks Nursing & Rehabilitation)

• Internal Medicine Physician in Bonham, TX
• Providers in Bonham, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.