Gerald Bonilla

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS2624 Issued in FL

Practice address

2320 Dairy Rd
Suite 101
West Melbourne, FL 32904-5208

Phone

(321) 725-4948

Fax

(321) 725-0831

NPI assigned

Jan 31, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Coastal Hearing Care Providers

  • Audiologist-Hearing Aid Fitter
  • West Melbourne, FL
  • NPI 1336192830
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1164609285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CHESHIRE LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463706",
            "telephone_number": "888-333-9152",
            "fax_number": "763-268-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 DAIRY RD",
            "address_2": "SUITE 101",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329045208",
            "telephone_number": "321-725-4948",
            "fax_number": "321-725-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "GERALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS2624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marina Denali Blunk
• Prodromos Gordon Borboroglu, M.D.
• Bradley J E Clow D C P a
• Mark Winter Bradley, L.M.T.
• Kimberly Ann Bray, BCBA
• Bridge the Gap Speech Language Services LLC

• Hearing Instrument Specialist in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.