Bonnie J Fraser MD PC
Organization Active NPI Surgery of the Hand (Surgery) Physician · Henderson, NV
NPI 1306207378 · NPPES record last updated Aug 1, 2026
Key facts
- NPI
- 1306207378
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery of the Hand (Surgery) Physician 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
- Organization subpart
- No
Authorized official
- Name
- Bonnie J Fraser, MD
- Title
- President
- Phone
- (702) 576-5880
Practitioners 3
-
Tia B Hudon, APN
-
Dacia Taylor, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
9017 S Pecos Rd
Ste 4575
Henderson, NV 89074
825 N Gibson Rd
Ste 1411
Henderson, NV 89011
8975 W Charleston Blvd
Ste 13024
Las Vegas, NV 89117
Phone (702) 576-5880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician |
2086S0105X | NV | Yes |
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
Other providers in Henderson, NV
- Donna Bondeson
- Jordana Arielle Boneh
- Veronica Bonilla
- George E Bonn
- Blanche Y Bonnick Murray
- Nida E Bonuel
- Victor J Bonuel
- Breanna Booker
- Jazmyne Booker
- Tamara Booker
All providers in Henderson, NV · Surgery of the Hand (Surgery) Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.