NPIMap

Organization Active NPI

Bonita C. Musial

  • Family Medicine Physician
  • Monticello, MS
National Provider Identifier
1144370552
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13704 Issued in MS
Legal business name
BONITA C. MUSIAL
Practice address
314 Main Street
Suite D
Monticello, MS 39654-0949
Phone
(601) 587-2785
Fax
(601) 587-7799
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bonita C. Musial, M.D.NPI 1629141494
Title
Solo Practitioner
Phone
(601) 587-2785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13704 MS Primary

Addresses

Primary practice location

314 Main Street
Suite D
Monticello, MS 39654-0949

Mailing address

PO Box 949
314 Main Street, Suite D
Monticello, MS 39654-0949
Phone (601) 587-2785

Other identifiers 1

IdentifierTypeStateIssuer
00117007MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144370552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "address_2": "314 MAIN STREET, SUITE D",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396540949",
            "telephone_number": "601-587-2785",
            "fax_number": "601-587-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN STREET",
            "address_2": "SUITE D",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396540949",
            "telephone_number": "601-587-2785",
            "fax_number": "601-587-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA C. MUSIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUSIAL",
        "authorized_official_first_name": "BONITA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SOLO PRACTITIONER",
        "authorized_official_telephone_number": "601-587-2785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "13704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117007",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.