WJ Bonner MD PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

WJ BONNER MD PLLC

Practice address

4960 SW 72ND Ave Ste 408
Miami, FL 33155-5506

Phone

(786) 522-4959

Fax

(786) 522-4959

NPI assigned

May 30, 2023

Organization subpart

No

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

Authorized official

Name

Dr. William James Bonner, MD

Title

Manager

Phone

(610) 529-4407

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701561600000",
    "number": "1144913732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12051 SW 69TH PL",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331565429",
            "telephone_number": "610-529-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 408",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555506",
            "telephone_number": "786-522-4959",
            "fax_number": "786-522-4959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9195 SW 72nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733488",
            "country_code": "US",
            "telephone_number": "786-522-4959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WJ BONNER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-529-4407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Pain Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; 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.