Charles Stephen Bonney, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

19099 Issued in CO

Practice address

503 N Main St
Suite 640
Pueblo, CO 81003-3130

Phone

(719) 542-6000

Fax

(719) 542-6037

NPI assigned

Apr 14, 2006

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 1

Other names 1

• C Stephen Bonney Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346204534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST",
            "address_2": "SUITE 640",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033130",
            "telephone_number": "719-542-6000",
            "fax_number": "719-542-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST",
            "address_2": "SUITE 640",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033130",
            "telephone_number": "719-542-6000",
            "fax_number": "719-542-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEY",
        "first_name": "CHARLES",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "19099",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "2390A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01190990",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C STEPHEN",
            "last_name": "BONNEY",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Boleman
• Kenyetta Bond
• Derek J Bonds, LCPC
• Kyle Andrew Bonds, PHARM.D.
• Amber Bonjour
• Boone Guest Home
• Kaitlin Booth, CRNA
• Martina Louise Borden, R.N.
• Paula Borden, R.M.T, L.L.C.C
• Sheryce Borgatti

• Psychiatry Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.