Dianne L Bonner, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2676 Issued in CO

Practice address

7780 S Broadway
Suite 350
Littleton, CO 80122-2648

Phone

(303) 734-8650

Fax

(303) 734-8653

NPI assigned

Jul 13, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Portercare Adventist Health System

  • Neurological Surgery Physician
  • Littleton, CO
  • NPI 1881600559
  NPD (past)
• Portercare Adventist Health System

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626
  NPD (past)
• University Medical Service Association Inc

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
  • NPI 1194276576
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1336164201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY",
            "address_2": "SUITE 350",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222648",
            "telephone_number": "303-734-8650",
            "fax_number": "303-734-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY",
            "address_2": "SUITE 350",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222648",
            "telephone_number": "303-734-8650",
            "fax_number": "303-734-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "DIANNE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2676",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06607519",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Mildred Bomal
• Kristen Marie Bommarito
• Antony Charles Bond, PSYD
• Nancy Bonifer, PT, DPT, MS
• Nina O Bonn, MS, CCC-SLP
• Kathryn Elizabeth Boone, LPCC
• Carly Grace Booth
• Camilla Borden
• Kathleen Rose Borden, DPT
• David C Bordewyck, PA

• Medical Physician Assistant in Littleton, CO
• Providers in Littleton, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.