Bonnie Sue Coyle Ronco, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2020-00968 Issued in NC

Practice address

3205 Freedom Dr
Charlotte, NC 28208-2866

Phone

(704) 336-4700

NPI assigned

Oct 3, 2006

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Bonnie Sue Coyle Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Preventive Medicine

Education

Jefferson Medical College of Thomas Jefferson University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mecklenburg County

  dba Mecklenburg County Health Department - Clinical Services

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
  • NPI 1043352594
  Medicare reassignment NPD
• Mecklenburg County

  dba Mecklenburg County Health Department - CAP Services

  • Case Management Agency
  • Charlotte, NC
  • NPI 1063554517
  NPD
• Mecklenburg County

  dba Mecklenburg County Childrens Developmental Services Agency

  • Public Health or Welfare Agency
  • Charlotte, NC
  • NPI 1396814331
  NPD (past)
• St. Luke's Hospital

  dba St. Luke's Sports Medicine

  • Sports Medicine (Preventive Medicine) Physician
  • Bethlehem, PA
  • NPI 1437356441
  NPD (past)
• St. Luke's Hospital

  dba St. Luke's Physician Assistants

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1982798088
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1376637918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOORESVILLE RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280810304",
            "telephone_number": "704-920-1310",
            "fax_number": "704-934-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 FREEDOM DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082866",
            "telephone_number": "704-336-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 Billingsley Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111003",
            "country_code": "US",
            "telephone_number": "704-336-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Mooresville Rd",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280810304",
            "country_code": "US",
            "telephone_number": "704-920-1310",
            "fax_number": "704-934-4270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYLE RONCO",
        "first_name": "BONNIE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-06-08",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PA",
            "license": "MD055123-L",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NC",
            "license": "2020-00968",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2020-00968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "COYLE",
            "middle_name": "SUE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tari Madane Cox, M.A.
• Timothy Lee Cox, DDS
• William Anderson Cox, MD
• Savanna Rose Coy
• Frederick James Coyer V, PA-C
• Brian E Coyle, MD
• Jay J Coyle
• Joseph Paul Coyle, MD
• Synquis Cozart
• Shannon Elizabeth Cozort, PHARM D

• General Practice Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.