Diane T Bonaccorsi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD028741E Issued in PA

Practice address

1903 Morgantown Road
Reading, PA 19607

Phone

(610) 777-4040

Fax

(610) 777-5575

NPI assigned

Oct 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1235224841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 MORGANTOWN RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "610-777-4040",
            "fax_number": "610-777-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 MORGANTOWN ROAD",
            "city": "READING",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "610-777-4040",
            "fax_number": "610-777-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONACCORSI",
        "first_name": "DIANE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD028741E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MD028741E",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradford David Bobrin, MD
• Bodega Cares LLC
• Barbara G Boland, LSW, BCBA, HSV
• Jeffrey Scott Bolger, D.O.
• Caitlyn Bomalaski, LSW
• James Joseph Bonner, MD
• Mary J. Bonner, M.D.
• Denise Bononno
• Lori Borja, RN, MS, CNS
• Patrick M Borja, D.C.

• All providers in Reading, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.