Bonnie Jean Nock, DO

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

0102049966 Issued in VA

Practice address

4525 South Blvd Ste 200
Virginia Beach, VA 23452-1147

Phone

(757) 227-3820

Fax

(757) 226-9021

NPI assigned

Jun 30, 2006

Sex

Female

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

Enrolled in VA

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

Specialty

Physical Medicine and Rehabilitation

Education

University of North Texas HSC, College of Osteopathic Med, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Virginia Spine and Pain Center LLCGroup PAC ID 4880931070, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bnock@covaspineandpain.ssdirect.aprima.com

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.

• Coastal Virginia Spine and Pain Center LLC

  • Interventional Pain Medicine Physician
  • Virginia Beach, VA
  • NPI 1114496734
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1346279833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 SOUTH BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521147",
            "telephone_number": "757-227-3820",
            "fax_number": "757-226-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 SOUTH BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521147",
            "telephone_number": "757-227-3820",
            "fax_number": "757-226-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCK",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-02-17",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0102049966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006800581",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2300068",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19409",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "462069061",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "906168",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NMC Portsmouth (Dod Portsmouth Dam Neck Pharmacy)
• NMC Portsmouth (Dod Portsmouth Oceana Pharmacy)
• NMC Portsmouth
• NMCP
• No Wake Zone
• Cassandra M Noe, LPTA
• Monica Noell
• Ellen N Nogueira, APRN-RX
• Noir Holdings
• Noelle Nolan, DPT

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.