Bonners Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

260018275 Issued in AL

Legal business name

BONNERS INC.

Practice address

207 Gilmer Ave
Tallassee, AL 36078-1209

Phone

(334) 283-5625

Fax

(334) 283-5809

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

John Bradley Bonner

Title

Vice President

Phone

(334) 283-5625

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BONNERS MEDICAL SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1215934872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781209",
            "telephone_number": "334-283-5625",
            "fax_number": "334-283-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781209",
            "telephone_number": "334-283-5625",
            "fax_number": "334-283-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "334-283-5625"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "260018275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009993565",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BONNERS MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Mitchell Baynes, LPTA
• Thomas Deverell Bianchi, M.D.
• Bio-Medical Applications of Alabama, Inc.
• Jared Merrill Blair, DPT
• Matthew S Bodner, MD
• Romesha Booker
• Tina Yankey Brooks, MED, ALC
• Valerie Michelle Brunson, M.S., BCBA
• Tyesha Keswana Butler
• C & P Home Health, LLC

• Durable Medical Equipment & Medical Supplies in Tallassee, AL
• Providers in Tallassee, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.