Wesley Bonnell, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CHI3863 Issued in MA

Practice address

1718 Massachusetts Ave
Cambridge, MA 02138-1804

Phone

(617) 492-5438

NPI assigned

Jun 10, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Khalsa Chiropractic Office P.C.

  • Chiropractor
  • Cambridge, MA
  • NPI 1952430589
  Medicare reassignment NPD
• Sports Group Physical Therapy

  • Physical Therapy Clinic/Center
  • Cambridge, MA
  • NPI 1316395361
  NPD (past)

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1245072446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393944",
            "telephone_number": "302-698-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381804",
            "telephone_number": "617-492-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNELL",
        "first_name": "WESLEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "CHI3863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Katherine Bolte, LMHC, ATR
• Daniel D Bolton, M.A., LMHC
• Meg Alison Bond, PH.D.
• Frantz Boneau, BA/LPN
• Karelyn G Bonilla
• Janeen Bono, LICSW
• Shara Bonpietro, MA
• Barbara Boothby, R.D.
• Sabine Boots
• David H Bor, M.D.

• Sports Physician Chiropractor in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Sports Physician Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.