NPIMap

Individual provider Active NPI

Bryant E Bonner, MD

  • Orthopaedic Surgery Physician
  • Fremont, CA
National Provider Identifier
1306227814
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A172757 Issued in CA
Practice address
2000 Mowry Ave
Fremont, CA 94538-1716
Phone
(510) 818-7200
Fax
(510) 818-8710
NPI assigned
Jun 11, 2015
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A172757 CA Primary

Addresses

Primary practice location

2000 Mowry Ave
Fremont, CA 94538-1716

Mailing address

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 818-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915002201 CA Practitioner - Orthopedic Surgery 0941517007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Orthopedic Associates IncGroup PAC ID 7719974336, 18 clinicians
Sah Orthopaedic AssociatesGroup PAC ID 1153692785, 8 clinicians

Practice addresses (Care Compare)

1850 Sullivan Ave
Suite 330
Daly City, CA 94015-2204
Phone (650) 756-5630

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 818-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as group
Quality
81.55
Promoting interoperability
100
Improvement activities
40
Cost
75.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement41
Knee replacement72
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A172757CAMDOrthopaedic Surgery Physician
L-263337MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Orthopedic Associates, Inc. Orthopaedic Surgery CurrentSince Nov 1, 2024 Accepting new patients
Washington Township Medical Foundation CurrentSince Jan 1, 2022 Accepting new patients
Sah Orthopaedic Associates Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Sah Orthopaedic Associates Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Washington Township Medical Foundation CurrentSince Jan 1, 2022 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

1850 Sullivan Ave
Ste 330
Daly City, CA 94015
Phone (650) 756-5630

901 Campus Dr
Ste 107
Daly City, CA 94015

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

2500 Mowry Ave
Fremont, CA 94538
Phone (510) 248-1000

38690 Stivers St
Ste A
Fremont, CA 94536
Phone (510) 248-1040

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

695 Oak Grove Ave
Ste 200
Menlo Park, CA 94025
Phone (510) 818-7200

Interoperability endpoints

  • Direct secure messaging: bbonner133897@direct.whhs.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1306227814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381716",
            "telephone_number": "510-818-7200",
            "fax_number": "510-818-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381716",
            "telephone_number": "510-818-7200",
            "fax_number": "510-818-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "BRYANT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A172757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2500 Merced St",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945774201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.