Individual provider Active NPI

Brian Bonenfant, PA

  • Physician Assistant
  • Taunton, MA
National Provider Identifier
1245248228
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1269 Issued in MA
Practice address
88 Washington Street
Attn Emergency Dept
Taunton, MA 02780
Phone
(508) 828-7108
Fax
(508) 828-7158
NPI assigned
Aug 4, 2006
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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 1269 MA Primary

Addresses

Primary practice location

88 Washington Street
Attn Emergency Dept
Taunton, MA 02780

Mailing address

208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-2000

Other practice location 1

208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-2432

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbonenfant43080@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040708001446 MA Practitioner - Physician Assistant 0042298853 Reassigns benefits to 6 organizations
I20200828001021 FL Practitioner - Physician Assistant 0042298853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians
Global Physician Network LLC Series IIGroup PAC ID 7012282775, 67 clinicians

Practice addresses (Care Compare)

12 Main St
Lakeville, MA 02347-1606
Phone (508) 973-2432

206 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-3000

208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 758-3781

37 Commerce Way
Seekonk, MA 02771-5816
Phone (508) 336-6181

479 Swansea Mall Dr
Swansea, MA 02777-4119
Phone (508) 973-1570

534 Prospect St
Fall River, MA 02720-5281
Phone (508) 973-7766

6331 S Tamiami TRL
Global Physician Network LLC Series 1
Sarasota, FL 34231-3917
Phone (941) 917-5678

8431 Pointe Loop Dr
Venice, FL 34293-2232
Phone (941) 261-6800

997 US Hwy 41 Byp N
Ambulatory Care Physicians of Sarasota
Venice, FL 34285-6046
Phone (941) 952-4250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1269MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Jun 4, 2018 Accepting new patients
Signature Healthcare Urgent Care, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 4, 2018 Accepting new patients
Brockton Hospital, Inc. Past Accepting new patients
Steward Medical Group, Inc Past Accepting new patients
Southcoast Physicians Group, Inc. Past Accepting new patients

Locations

110 Liberty St
Ste 1C
Brockton, MA 02301
Phone (508) 941-7100

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

Interoperability endpoints

  • Direct secure messaging: brian.bonenfant@direct.signature.masshiway.net

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1245248228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MILL RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195208",
            "telephone_number": "508-973-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 WASHINGTON STREET",
            "address_2": "ATTN EMERGENCY DEPT",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "02780",
            "telephone_number": "508-828-7108",
            "fax_number": "508-828-7158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Fairhaven",
            "state": "MA",
            "postal_code": "027195208",
            "country_code": "US",
            "telephone_number": "508-973-2432",
            "fax_number": "508-973-2435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONENFANT",
        "first_name": "BRIAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbonenfant43080@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "208 Mill Rd",
            "city": "Fairhaven",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027195208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.