Active NPI
Bonnie Katherine Buckles, M.D.
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1235526534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 28263
- Practice address
- 6070 S Rainbow Blvd Ste 10
Las Vegas, NV 89118-2503 - Phone
- (702) 420-7222
- NPI assigned
- Apr 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101261849 | VA | |
| Pediatrics Physician | 208000000X | 28263 | NV | Primary |
Addresses
Primary practice location
6070 S Rainbow Blvd Ste 10
Las Vegas, NV 89118-2503
Mailing address
6070 S Rainbow Blvd Ste 10
Las Vegas, NV 89118-2503
Phone (702) 420-7222
Other practice location 1
9325 W Sahara Ave
Las Vegas, NV 89117-5350
Phone (725) 433-8258
Other practice location 2
1670 E Perimeter Way
Tucson, AZ 85706-6085
Phone (520) 295-6172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231208001590 | NV | Order and Referring Only - Pediatric Medicine | 4082063557 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101261849 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Vegas Pediatrics, PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1235526534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6070 S RAINBOW BLVD STE 10",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182503",
"telephone_number": "702-420-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6070 S RAINBOW BLVD STE 10",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182503",
"telephone_number": "702-420-7222"
}
],
"practiceLocations": [
{
"address_1": "9325 W Sahara Ave",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891175350",
"country_code": "US",
"telephone_number": "725-433-8258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1670 E Perimeter Way",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857066085",
"country_code": "US",
"telephone_number": "520-295-6172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKLES",
"first_name": "BONNIE",
"middle_name": "KATHERINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101261849",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "28263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.