Jeffrey Bonneville, DMSC MS L/CPO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

ORT394 Issued in FL

Practice address

3214 NW 110TH Terrace
3214 NW 110TH Terrace
Gainesville, FL 32606-4977

Phone

(516) 582-8336

NPI assigned

Mar 21, 2017

Last updated

Aug 24, 2026By 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 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1366973463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 NW 110TH TERRACE GAINESVILLE FL 32606",
            "address_2": "1ST FLOOR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064977",
            "telephone_number": "516-582-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 NW 110TH TERRACE",
            "address_2": "3214 NW 110TH TERRACE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064977",
            "telephone_number": "516-582-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEVILLE",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DMSC MS L/CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "221-000165",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "PA",
            "license": "OH000281",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "211.000165",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "FL",
            "license": "ORT394",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "PA",
            "license": "PO000194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Bone
• Michele Bone, RN
• Gabriel Bonnell
• Andrew Bonner
• Jonathan Paul Bonnet, M.D.
• Justin Bonneville
• Sabrina Isabel Bonnice
• Catherine Grace Boon, MD
• Caroline Kingsley Boone, MOT, OTR/L
• Megan Ehlinger Boothe

• Orthotist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Orthotist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.