Organization Active NPI

Bonnie J Fraser MD PC

  • Surgery of the Hand (Surgery) Physician
  • Henderson, NV
National Provider Identifier
1306207378
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
Legal business name
BONNIE J FRASER MD PC
Practice address
9017 S Pecos Rd Ste 4575
Henderson, NV 89074-7203
Phone
(702) 576-5880
Fax
(702) 750-1414
NPI assigned
Mar 17, 2016
Last updated
Aug 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Authorized official

Name
Bonnie J Fraser, MDNPI 1053450080
Title
President
Phone
(702) 576-5880

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
Surgery of the Hand (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0105X NV Primary

Addresses

Primary practice location

9017 S Pecos Rd Ste 4575
Henderson, NV 89074-7203

Mailing address

PO Box 401357
Las Vegas, NV 89140-1357
Phone (702) 576-5880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160808000665 NV Part B Supplier - Clinic/Group Practice 2769776111 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

825 N Gibson Rd
Ste 1411
Henderson, NV 89011

9017 S Pecos Rd
Ste 4575
Henderson, NV 89074
Phone (702) 576-5880

8975 W Charleston Blvd
Ste 13024
Las Vegas, NV 89117

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1306207378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401357",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891401357",
            "telephone_number": "702-576-5880",
            "fax_number": "702-750-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 S PECOS RD STE 4575",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747203",
            "telephone_number": "702-576-5880",
            "fax_number": "702-750-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE J FRASER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-576-5880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.