Individual provider Active NPI

Bonnie Joan Sendzicki, DO

  • General Practice Physician
  • Waterford, ME
National Provider Identifier
1265579015
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1306 Issued in ME
Practice address
81 Blackguard Road
Waterford, ME 04088
Phone
(207) 583-2399
Fax
(207) 583-2399
NPI assigned
Jan 31, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X #1306 ME
General Practice Physician 208D00000X 1306 ME Primary

Addresses

Primary practice location

81 Blackguard Road
Waterford, ME 04088

Mailing address

PO Box 337
Harrison, ME 04040
Phone (207) 583-2399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
#1306MEMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Manipulative Service PA Neuromusculoskeletal Medicine & Omm 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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1265579015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "HARRISON",
            "state": "ME",
            "postal_code": "04040",
            "telephone_number": "207-583-2399",
            "fax_number": "207-583-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 BLACKGUARD ROAD",
            "city": "WATERFORD",
            "state": "ME",
            "postal_code": "04088",
            "telephone_number": "207-583-2399",
            "fax_number": "207-583-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDZICKI",
        "first_name": "BONNIE",
        "middle_name": "JOAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "#1306",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ME",
            "license": "1306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, ME

Sources for this page

Verify at the official NPI Registry.