Anthony Bonaminio, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

SC 20902 Issued in SC

Practice address

101 E Wood St
SRMC Dept. Inpatient Medicine
Spartanburg, SC 29303-3040

Phone

(864) 560-6294

NPI assigned

Apr 26, 2006

Last updated

Jan 8, 2008By 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 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Fairfield Memorial Hospital

  • Critical Access Hospital
  • Winnsboro, SC
  • NPI 1386604726
  NPD (past)
• Spartanburg Medical Center

  dba Medical Group of the Carolinas Pain Management Wood Street

  • Physical Medicine & Rehabilitation Physician
  • Spartanburg, SC
  • NPI 1942188875
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1346207321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 PINELAND RD",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293799492",
            "telephone_number": "864-426-2153",
            "fax_number": "864-427-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WOOD ST",
            "address_2": "SRMC DEPT. INPATIENT MEDICINE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040",
            "telephone_number": "864-560-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAMINIO",
        "first_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "SC 20902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "189433",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89065VC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "20057403",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209028",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "576000934-097",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn A Bollinger, PA
• Bethany Ann Bolthouse, BA
• Mark A Boltniew, DC
• Leonora Culp Bomar, MD
• Bon Sante Transportation, LLC
• Stephanie Elaine Bond, FNP
• Jakayla Catrill Booker
• Tashima S Booker
• Bonnie Boswell Boone, RN, IBCLC, RLC
• Neil Borad, MD

• Internal Medicine Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.