Individual provider Active NPI

Bruce Keith Bohnker, MD

  • Occupational Medicine Physician
  • Tampa, FL
National Provider Identifier
1245216340
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
ME043317 Issued in FL
Practice address
9210 Florida Palm Dr
Tampa, FL 33619-4352
Phone
(813) 246-4377
Fax
(813) 246-4654
NPI assigned
Dec 20, 2005
Last updated
Jul 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X ME043317 FL
Occupational Medicine Physician 2083X0100X ME043317 FL Primary

Addresses

Primary practice location

9210 Florida Palm Dr
Tampa, FL 33619-4352

Mailing address

9210 Florida Palm Dr
Tampa, FL 33619-4352
Phone (813) 246-4377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME043317FLMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine of Florida, Inc. 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, 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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1245216340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 FLORIDA PALM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194352",
            "telephone_number": "813-246-4377",
            "fax_number": "813-246-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 FLORIDA PALM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194352",
            "telephone_number": "813-246-4377",
            "fax_number": "813-246-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNKER",
        "first_name": "BRUCE",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "FL",
            "license": "ME043317",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "ME043317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.