Brian K Bonner, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD424481 Issued in PA

Practice address

521 Greenfield Ave
Pittsburgh, PA 15207-1091

Phone

(412) 422-6500

Fax

(412) 422-4357

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1295718823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 GREENFIELD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152071091",
            "telephone_number": "412-422-6500",
            "fax_number": "412-422-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 GREENFIELD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152071091",
            "telephone_number": "412-422-6500",
            "fax_number": "412-422-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD424481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009892050001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Bonino, M.D.
• Erica Bonk, FNP-C
• Wendpagnanda Bonkoungou
• Brian Peter Bonnar, LAT, ATC
• Anntonette Bonner
• Charles W. Bonner, PH.D.
• Cherie Bonner, MSW
• Lynette F Bonner
• Mary C Bonner, BA
• Tina Bonner, CRC

• Family Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.