Sara Bonham

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10633 Issued in TX

Practice address

7700 Cat Hollow Dr
Suite 101
Round Rock, TX 78681-5796

Phone

(512) 255-8888

NPI assigned

Oct 4, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SPR Medical GroupGroup PAC ID 7416171640, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• SPR Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Round Rock, TX
  • NPI 1013339381
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1215487129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR",
            "address_2": "SUITE 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815796",
            "telephone_number": "512-255-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR",
            "address_2": "SUITE 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815796",
            "telephone_number": "512-255-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHAM",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Boman, NP-C
• Annie Bomer, APRN
• Nicholas Bonacci
• Amanda Marie Bonazzi
• Olivia Bond, M.S. CCC-SLP
• Michael Bonner, LPC-S
• Nicole Bontrager, LPC
• Blaine Eric Booher, PT
• Bookmyer and Bookmyer PA
• Kelsey Leigh Bookmyer, D.D.S.

• Chiropractor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.