Active NPI
Jocelyn Bonner, M.D.
- Psychiatry Physician
- Eugene, OR
National Provider Identifier
1275545105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 19198
- Practice address
- 1140 Willagillespie Road
Suite 44
Eugene, OR 97401 - Phone
- (541) 735-3241
- Fax
- (541) 735-3455
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 19198 | OR | Primary |
Addresses
Primary practice location
1140 Willagillespie Road
Suite 44
Eugene, OR 97401
Mailing address
P.O. Box 5795
Eugene, OR 97405
Phone (541) 915-0178
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19198 | OR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1275545105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5795",
"city": "EUGENE",
"state": "OR",
"postal_code": "97405",
"telephone_number": "541-915-0178",
"fax_number": "541-334-6285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 WILLAGILLESPIE ROAD",
"address_2": "SUITE 44",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-735-3241",
"fax_number": "541-735-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "JOCELYN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "19198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.