Anne Bonham

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

119 Vista Dr
Decatur, TX 76234-5054

Phone

(940) 577-6567

NPI assigned

Mar 27, 2023

Last updated

Mar 27, 2023By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1205539210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VISTA DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762345054",
            "telephone_number": "940-577-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 VISTA DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762345054",
            "telephone_number": "940-577-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHAM",
        "first_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tad W. Billmire, OD
• Georgia Black
• Bond Family Eye Care P.a.
• Lindsay Bond, O.D.
• Michael L Bond, OD
• Susan Carol Boyd
• Cameron Boyers, MSN, APRN, FNP-C
• Traci Lynn Brannon, PHARM D
• Brett Ray Braziel, PT, MPT
• Katherine Elizabeth Brown, FNP

• Athletic Trainer in Decatur, TX
• Providers in Decatur, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.