Bruce Bonier, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MB06159000 Issued in NJ

Practice address

5001 Lincoln Dr W
Ste F
Marlton, NJ 08053-1522

Phone

(856) 985-2001

NPI assigned

Aug 3, 2005

Last updated

Sep 26, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Coastalspine Radiology

  dba Fellowship Imaging

  • Magnetic Resonance Imaging Radiologic Technologist
  • Mount Laurel, NJ
  • NPI 1255529343

  Diagnostic Radiology

  NPD (past)
• Insight Radiology LLC

  • Diagnostic Radiology Physician
  • Marlton, NJ
  • NPI 1326049917
  NPD (past)
• South Jersey Imaging Associates Inc

  dba Upright Imaging of Cherry Hill

  • Body Imaging Physician
  • Cherry Hill, NJ
  • NPI 1003830571

  Diagnostic Radiology

  NPD (past)
• Ian a Kellman MD LLC

  • Diagnostic Radiology Physician
  • Tunkhannock, PA
  • NPI 1629027776
  NPD (past)
• Rittenhouse Imaging Center, LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Bryn Mawr, PA
  • NPI 1962458034
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1336140920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 LINCOLN DR W",
            "address_2": "STE F",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531522",
            "telephone_number": "856-985-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 LINCOLN DR W",
            "address_2": "STE F",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531522",
            "telephone_number": "856-985-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIER",
        "first_name": "BRUCE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB06159000",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS004560L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0092645401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1017661",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000926454",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0057308000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "092284",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "15771",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300064533",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO ELDER HEALTH",
            "identifier": "8321",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bolaji Olatoun Bolarinwa
• Tracy Bonanato, RPH
• Christine M Bonaventura, LPC
• Sharnessa Bond
• Melba Patricia Bonelli, DMD
• William James Bonney, M.D.
• Jennifer Lee Bordner
• David Borek, LPC, LCADC
• Shivani Malhotra Borhara, MFT
• Walter Boris, DO

• Diagnostic Radiology Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.