Individual provider Active NPI

Robert Louis Bonner Jr., M.D.

  • Pediatrics Physician
  • Bensalem, PA
National Provider Identifier
1295814267
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD045370L Issued in PA
Practice address
3331 Street Rd Ste 140
Bensalem, PA 19020-2052
Phone
(215) 245-8873
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD045370L PA Primary

Addresses

Primary practice location

3331 Street Rd Ste 140
Bensalem, PA 19020-2052

Mailing address

41 University Dr Ste 300
Newtown, PA 18940-1873
Phone (610) 772-6889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110510000496 PA Practitioner - Pediatric Medicine 9133305022 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Medical Center CurrentSince Mar 5, 2025 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc Pediatrics CurrentSince Jul 1, 2012 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Sep 27, 2014 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2012 Accepting new patients
St Mary Medical Center Pediatrics CurrentSince Mar 5, 2025 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Sep 27, 2014 Accepting new patients
Albert Einstein Medical Center Past Accepting new patients

Locations

2560 Knights Rd
Bensalem, PA 19020
Phone (215) 245-4334

3331 Street Rd
Ste 140
Bensalem, PA 19020
Phone (215) 245-8873

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

5501 York Rd
Ste 1
Philadelphia, PA 19141
Phone (215) 456-6500

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

Interoperability endpoints

  • Direct secure messaging: robert.bonner@direct.einstein.edu
  • Direct secure messaging: rbonner4178531@direct.trinity-health.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1295814267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 300",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873",
            "telephone_number": "610-772-6889",
            "fax_number": "215-710-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 STREET RD STE 140",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202052",
            "telephone_number": "215-245-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD045370L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.