Individual provider Active NPI

Bonnie H. Minton, PA

  • Physician Assistant
  • Glencoe, AL
National Provider Identifier
1235318155
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
538 Issued in AL
Practice address
1411 Walker Drive
Glencoe, AL 35905
Phone
(256) 276-0501
NPI assigned
Oct 27, 2007
Last updated
Dec 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 538 AL Primary

Addresses

Primary practice location

1411 Walker Drive
Glencoe, AL 35905

Mailing address

1411 Walker Dr
Glencoe, AL 35905-9400
Phone (256) 276-0501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000434 AL Practitioner - Physician Assistant 0840372181 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
538ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Community Providers LLC CurrentSince Nov 17, 2025 Accepting new patients
University of South Alabama Mitchell Cancer Institute Past Accepting new patients
Hematology & Oncology Associates of Alabama LLC Past Accepting new patients

Locations

2451 University Hospital Dr
#102
Mobile, AL 36617
Phone (251) 470-5890

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1235318155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 WALKER DR",
            "city": "GLENCOE",
            "state": "AL",
            "postal_code": "359059400",
            "telephone_number": "256-276-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 WALKER DRIVE",
            "city": "GLENCOE",
            "state": "AL",
            "postal_code": "35905",
            "telephone_number": "256-276-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTON",
        "first_name": "BONNIE",
        "middle_name": "H.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-27",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glencoe, AL

Sources for this page

Verify at the official NPI Registry.