Individual provider Active NPI

Efrain Rivera Bonilla, DC

  • Chiropractor
  • High Point, NC
National Provider Identifier
1386450732
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5840 Issued in NC
Practice address
1623 York Ave Ste 101
High Point, NC 27265-2355
Phone
(336) 882-2434
Fax
(336) 882-4747
NPI assigned
Dec 9, 2024
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5840 NC Primary

Addresses

Primary practice location

1623 York Ave Ste 101
High Point, NC 27265-2355

Mailing address

1623 York Ave Ste 101
High Point, NC 27265-2355
Phone (336) 882-2434

Other practice location 1

2006 New Garden Rd Ste 204
Greensboro, NC 27410-2568
Phone (336) 545-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250306001143 NC Practitioner - Chiropractic 8921529991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Point Chiropractic IncGroup PAC ID 4183513567, 5 clinicians

Practice addresses (Care Compare)

1623 York Ave
Suite 101
High Point, NC 27265-2355
Phone (336) 882-2434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Chiropractic Inc Chiropractor CurrentSince Dec 1, 2024 Accepting new patients
High Point Chiropractic Inc Chiropractor CurrentSince Jan 14, 2025 Accepting new patients
Daniel John Fonke Chiropractor PastSince Jan 14, 2025 Accepting new patients

Locations

2006 New Garden Rd
Ste 204
Greensboro, NC 27410
Phone (336) 545-3132

1623 York Ave
Ste 101
High Point, NC 27265
Phone (336) 882-2434

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1386450732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 YORK AVE STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652355",
            "telephone_number": "336-882-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 YORK AVE STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652355",
            "telephone_number": "336-882-2434",
            "fax_number": "336-882-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 New Garden Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274102568",
            "country_code": "US",
            "telephone_number": "336-545-3132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA BONILLA",
        "first_name": "EFRAIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.