Individual provider Active NPI

Marianne R Bonidie, MD

  • Obstetrics & Gynecology Physician
  • Bethel Park, PA
National Provider Identifier
1144292905
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD064974L Issued in PA
Practice address
1000 Higbee Dr Ste D206
Bethel Park, PA 15102-4200
Phone
(412) 854-7140
Fax
(412) 854-7142
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD064974L PA Primary

Addresses

Primary practice location

1000 Higbee Dr Ste D206
Bethel Park, PA 15102-4200

Mailing address

1000 Higbee Dr Ste D206
Bethel Park, PA 15102-4200
Phone (412) 854-7140

Other identifiers 1

IdentifierTypeStateIssuer
001764501MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbonidie6247@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20051221000554 PA Practitioner - Obstetrics/Gynecology 6507888351 Reassigns benefits to 1 organization
I20240222001062 VA Practitioner - Obstetrics/Gynecology 6507888351 Reassigns benefits to 1 organization
I20260227003213 NC Practitioner - Obstetrics/Gynecology 6507888351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Health CenterGroup PAC ID 9537060413, shared by 5 NPIs, 39 clinicians

Practice addresses (Care Compare)

2402 Atherholt Rd
Lynchburg, VA 24501-2148
Phone (434) 200-6401

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jan 1, 2011 Accepting new patients
Advance Community Health, Inc Obstetrics & Gynecology CurrentSince Jan 25, 2026 Accepting new patients
Johnson Health Center CurrentSince Jan 10, 2024 Accepting new patients
Johnson Health Center CurrentSince Jan 10, 2024 Accepting new patients
Allegheny Clinic Current Accepting new patients
Advance Community Health, Inc CurrentSince Jan 25, 2026 Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2011 Accepting new patients

Locations

500 Holly Springs Rd
Ste 101
Holly Springs, NC 27540
Phone (919) 346-5911

1011 Rock Quarry Rd
Raleigh, NC 27610

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

3509 Capital Blvd
Ste 101
Raleigh, NC 27604
Phone (919) 878-3655

1011 Rock Quarry Rd
Fl 2
Raleigh, NC 27610

1000 Higbee Dr
Ste D206
Bethel Park, PA 15102
Phone (412) 847-1166

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4815 Liberty Ave
Ste 321
Pittsburgh, PA 15224

4815 Liberty Ave
Ste 154
Pittsburgh, PA 15224
Phone (412) 578-4003

535 Smithfield St
Ste 1030
Pittsburgh, PA 15222
Phone (412) 281-7313

4815 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 235-5810

5140 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 682-2100

320 Federal St
Lynchburg, VA 24504
Phone (434) 947-5967

2402 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 200-6401

Organizations & group practices 7

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.

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": "1628553600000",
    "number": "1144292905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGBEE DR STE D206",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151024200",
            "telephone_number": "412-854-7140",
            "fax_number": "412-854-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGBEE DR STE D206",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151024200",
            "telephone_number": "412-854-7140",
            "fax_number": "412-854-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIDIE",
        "first_name": "MARIANNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD064974L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001764501",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbonidie6247@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1000 Higbee Dr Ste D206",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151024200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.