NPIMap

Organization Active NPI

Dennis James Bonner, M.D., LTD

Doing business as Rehabilitation & Occupational Specialist

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Levittown, PA
National Provider Identifier
1316953755
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD019375-E Issued in PA
Legal business name
DENNIS JAMES BONNER, M.D., LTD
Doing business as
Rehabilitation & Occupational Specialist
Practice address
1854 Veterans Hwy
Levittown, PA 19056-2107
Phone
(215) 752-1600
Fax
(215) 750-7328
NPI assigned
Jul 31, 2006
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Dennis James Bonner, MD
Title
President
Phone
(215) 752-1600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MA037637 NJ
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD019375-E PA Primary

Addresses

Primary practice location

1854 Veterans Hwy
Levittown, PA 19056-2107

Mailing address

1854 Veterans Hwy
Levittown, PA 19056-2107
Phone (215) 752-1600

Other identifiers 2

IdentifierTypeStateIssuer
000514138OtherPABLUE SHIELD HIGHMARK
0110593000OtherPAHMO

Other names 1

  • Rehabilitation & Occupational Specialist Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1316953755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 VETERANS HWY",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190562107",
            "telephone_number": "215-752-1600",
            "fax_number": "215-750-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 VETERANS HWY",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190562107",
            "telephone_number": "215-752-1600",
            "fax_number": "215-750-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS JAMES BONNER, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-752-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "MA037637",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD019375-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HIGHMARK",
            "identifier": "000514138",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "0110593000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation & Occupational Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.