Roger D Bonham, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R6F35 Issued in MO

Practice address

500 N Keene St
Suite 101
Columbia, MO 65201-8104

Phone

(573) 449-3846

Fax

(573) 449-3706

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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.

• Roger D. Bonham M.D., P.C.

  • Ophthalmology Physician
  • Columbia, MO
  • NPI 1063544674

  MO, Ophthalmology

  Medicare reassignment NPD

Specialty

Ophthalmology

Education

University of Oklahoma College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

19.37 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

64.58

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2011.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1407855778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018105",
            "telephone_number": "573-449-3846",
            "fax_number": "573-449-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018104",
            "telephone_number": "573-449-3846",
            "fax_number": "573-449-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHAM",
        "first_name": "ROGER",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R6F35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180012949",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202256202",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilee Green Bomar, MSN
• Charles P. Bondurant, M.D.
• Holly H Bondurant, M.D.
• Linda Bonebrake, LPC
• Michael G Bonen
• Sarah Ann Bonner, PLPC, NBC-HWC
• Alyssa Marie Bonnett, LCSW
• David Allen Bonuchi
• Boone County Family Resources
• Boone County Family Resources

• All providers in Columbia, MO
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.