Ekkehard Bonatz, M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

MD.11656 Issued in AL

Practice address

4517 Southlake Pkwy
Suite 202
Birmingham, AL 35244-3280

Phone

(205) 985-4111

Fax

(205) 985-4326

NPI assigned

May 4, 2006

Last updated

May 18, 2023By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Hand SurgeryAlso: Orthopedic Surgery

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Orthopaedic Alliance PLLCGroup PAC ID 2365800604, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104
• Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Orthopaedic Alliance, PLLC

  • Orthopaedic Surgery Physician
  • Mobile, AL
  • NPI 1588364228
  Medicare reassignment Care Compare group NPD
• Southlake Orthopaedics Sports Medicine & Spine Center PC

  dba Southlake Orthopaedics

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1043268402
  Medicare reassignment
• Southlake Orthopaedics Sports Medicine and Spine Center, PC

  dba Southlake Orthopaedics

  • Orthopaedic Hand Surgery Physician
  • Hoover, AL
  • NPI 1639746050
  Authorized official Same address or phone
• Southern Orthopaedic Alliance PLLC

  • Durable Medical Equipment & Medical Supplies
  • Brewton, AL
  • NPI 1093561896

  Orthopaedic Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affinity Hospital LLC

  dba Grandview Medical Center

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation
• BBH BMC, LLC

  dba Baptist Health Brookwood Hospital

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1003260480
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1164470381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "address_2": "SUITE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONATZ",
        "first_name": "EKKEHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.11656",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "AL",
            "license": "MD.11656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BO009982490",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "05741",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Bolstad, PHD
• Anna Bolton
• Molly Dixon Bolton, MSN, CRNP- AC/PC
• Theres J Bolus, M.D.
• Tamsin Lea Bomar
• Logan Bond
• Tammy Lynn Bond, LCSW
• Winkler Devere Bond, M.D.
• Cara C Bondly, M.D.
• Deborah J Bonds, PA-C

• Orthopaedic Hand Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Orthopaedic Hand Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.