Active NPI
Bonnie Muzenic Dean, M.D.
- Family Medicine Physician
- Flat Rock, NC
National Provider Identifier
1225006554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME32475
- Practice address
- 2686 Greenville Hwy Ste B
Flat Rock, NC 28731-9607 - Phone
- (828) 507-3717
- NPI assigned
- Mar 11, 2006
- Last updated
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME32475 | FL | Primary |
Addresses
Primary practice location
2686 Greenville Hwy Ste B
Flat Rock, NC 28731-9607
Mailing address
140 Tarnhill Dr
Flat Rock, NC 28731-9704
Phone (828) 507-3717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME32475 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1225006554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 TARNHILL DR",
"city": "FLAT ROCK",
"state": "NC",
"postal_code": "287319704",
"telephone_number": "828-507-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2686 GREENVILLE HWY STE B",
"city": "FLAT ROCK",
"state": "NC",
"postal_code": "287319607",
"telephone_number": "828-507-3717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "BONNIE",
"middle_name": "MUZENIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-11",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME32475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flat Rock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.