NPIMap

Organization Active NPI

Bonner Physiatry Associates

  • Physical Medicine & Rehabilitation Physician
  • Chester, PA
National Provider Identifier
1285654129
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BONNER PHYSIATRY ASSOCIATES
Practice address
1 E Beacon Light LN
Chester, PA 19013-4433
Phone
(610) 490-3900
Fax
(610) 490-3904
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Dr. James Francis Bonner, MDNPI 1184642407
Title
Physician
Phone
(610) 490-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1 E Beacon Light LN
Chester, PA 19013-4433

Mailing address

217 Kedron Ave
Folsom, PA 19033-1310
Phone (610) 532-2633

Other identifiers 2

IdentifierTypeStateIssuer
0110278000OtherPAHMO ID
000512072OtherPAHIGHMARK BLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000733 PA Part B Supplier - Clinic/Group Practice 4082691837 Receives reassigned benefits from 3 practitioners
Practice locations: Glen Mills, PA

National Provider Directory

National Provider Directory

Locations

1726 S Broad St
Ste 2
Philadelphia, PA 19145
Phone (215) 551-3720

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1285654129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 KEDRON AVE",
            "city": "FOLSOM",
            "state": "PA",
            "postal_code": "190331310",
            "telephone_number": "610-532-2633",
            "fax_number": "610-532-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E BEACON LIGHT LN",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190134433",
            "telephone_number": "610-490-3900",
            "fax_number": "610-490-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNER PHYSIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-490-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO ID",
            "identifier": "0110278000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD ID",
            "identifier": "000512072",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.