Organization Active NPI

Bonni Field MD PA

  • Primary Care Clinic/Center
  • Wilmington, DE
National Provider Identifier
1194707760
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
C1 0003041 Issued in DE
Legal business name
BONNI FIELD MD PA
Practice address
5307 Limestone Rd
Suite 203
Wilmington, DE 19808-1268
Phone
(302) 234-0890
Fax
(302) 234-2135
NPI assigned
Nov 18, 2005
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. Bonni Field, M.D.
Title
President
Phone
(302) 234-0890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X C1 0003041 DE Primary

Addresses

Primary practice location

5307 Limestone Rd
Suite 203
Wilmington, DE 19808-1268

Mailing address

5307 Limestone Rd
Suite 203
Wilmington, DE 19808-1268
Phone (302) 234-0890

Other identifiers 1

IdentifierTypeStateIssuer
0000183301MedicaidDE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194707760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 LIMESTONE RD",
            "address_2": "SUITE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081268",
            "telephone_number": "302-234-0890",
            "fax_number": "302-234-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 LIMESTONE RD",
            "address_2": "SUITE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081268",
            "telephone_number": "302-234-0890",
            "fax_number": "302-234-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNI FIELD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "BONNI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-234-0890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "DE",
            "license": "C1 0003041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000183301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

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.