Individual provider Active NPI

Peter Louis Bono, DO

  • Orthopaedic Surgery of the Spine Physician
  • Southfield, MI
National Provider Identifier
1346234770
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
5101012872 Issued in MI
Practice address
22250 Providence Dr
Suite 601
Southfield, MI 48075-4825
Phone
(248) 569-7745
Fax
(248) 569-4539
NPI assigned
Aug 31, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 5101012872 MI Primary

Addresses

Primary practice location

22250 Providence Dr
Suite 601
Southfield, MI 48075-4825

Mailing address

22250 Providence Dr
Suite 601
Southfield, MI 48075-4825
Phone (248) 569-7745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050811000201 MI Practitioner - Orthopedic Surgery 1254360316 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Nova Southeastern College of Osteo Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northsport Physical Therapy and Rehabilitation P CGroup PAC ID 5294902508, shared by 2 NPIs, 43 clinicians
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000

16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

1622 Dickerson Rd
Gaylord, MI 49735-9206

22250 Providence Dr
Southfield, MI 48075-6211

23852 Michigan Ave
Dearborn, MI 48124-1829

26850 Providence Pkwy
Novi, MI 48374-1213
Phone (248) 347-2435

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

47601 Grand River Ave
Novi, MI 48374-1233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
82
Improvement activities
40
Cost
86.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion357
Laminectomy or laminotomy (partial removal of spine bones)126
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jan 1, 2025 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jan 1, 2025 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jan 1, 2025 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jan 1, 2025 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Oakland Rehabilitation Associates PLLC Past Accepting new patients

Locations

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

26850 Providence Pkwy
Ste 215
Novi, MI 48374
Phone (248) 569-7745

26850 Providence Pkwy
Ste 240
Novi, MI 48374
Phone (248) 440-2162

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: pbono1118163@direct.hfhs.org
  • Direct secure messaging: peter.bono@msbs.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346234770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 601",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-569-7745",
            "fax_number": "248-569-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 601",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-569-7745",
            "fax_number": "248-569-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONO",
        "first_name": "PETER",
        "middle_name": "LOUIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": "5101012872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.