Active NPI
Robert Bonnell Jr.
- Registered Nurse
- Honolulu, HI
National Provider Identifier
1366247264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 72210
- Practice address
- VA CLC, BLDG 110
459 Patterson Rd
Honolulu, HI 96819 - Phone
- (808) 433-3133
- NPI assigned
- Feb 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 72210 | HI | Primary |
Addresses
Primary practice location
VA CLC, BLDG 110
459 Patterson Rd
Honolulu, HI 96819
Mailing address
VA CLC, BLDG 110
459 Patterson Rd
Honolulu, HI 96819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72210 | HI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1366247264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VA CLC, BLDG 110",
"address_2": "459 PATTERSON RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA CLC, BLDG 110",
"address_2": "459 PATTERSON RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96819",
"telephone_number": "808-433-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNELL",
"first_name": "ROBERT",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "72210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.