Individual provider Active NPI

Bonnie Katherine Buckles, M.D.

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1235526534
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
28263 Issued in NV
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

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208001590 NV Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4082063557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101261849VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.