T. Bonnett Medical Services P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

T. BONNETT MEDICAL SERVICES P.C

Practice address

423 Lincoln PL
Brooklyn, NY 11238-5497

Phone

(347) 404-6508

Fax

(718) 484-2415

NPI assigned

Mar 20, 2009

Last updated

Oct 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terry Blackett-Bonnett, MD

Title

Owner

Phone

(347) 404-6508

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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.

• Terry-Jan Blackett-Bonnett, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1568689099
  Medicare reassignment Care Compare group
• Jaideep Chopra, DPM

  • Primary Podiatric Medicine Podiatrist
  • Brooklyn, NY
  • NPI 1376537985
  Medicare reassignment Care Compare group
• Beverley May McAlpin, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1619272739
  Medicare reassignment NPD
• Roselind Kwaamah Bruce-Vanderpuije, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1962093294
  Medicare reassignment
• Colette Nelson, FNP

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1952525396

  NY

  Medicare reassignment

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1144461146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112150069",
            "telephone_number": "347-404-6508",
            "fax_number": "718-484-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 LINCOLN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385497",
            "telephone_number": "347-404-6508",
            "fax_number": "718-484-2415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 Lincoln Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112385497",
            "country_code": "US",
            "telephone_number": "347-404-6508",
            "fax_number": "718-484-2415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5402 Flatlands Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112342436",
            "country_code": "US",
            "telephone_number": "718-444-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "T. BONNETT MEDICAL SERVICES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "BLACKETT-BONNETT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-404-6508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01988696",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.