Organization Active NPI

Andres Bonelli, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Corpus Christi, TX
National Provider Identifier
1437487972
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
ANDRES BONELLI, MD
Practice address
1521 S. Staples
#403
Corpus Christi, TX 78404
Phone
(361) 882-1917
Fax
(361) 882-7507
NPI assigned
Nov 20, 2009
Last updated
Nov 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Dr. Andres Bonelli, MDNPI 1245225663
Title
Doctor/Owner
Phone
(361) 882-1917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

1521 S. Staples
#403
Corpus Christi, TX 78404

Mailing address

PO Box 331248
Corpus Christi, TX 78463-1248
Phone (361) 882-1917

Other identifiers 1

IdentifierTypeStateIssuer
099781902MedicaidTX

National Provider Directory

National Provider Directory

Locations

1521 S Staples St
Ste 403
Corpus Christi, TX 78404
Phone (361) 356-1447

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1437487972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331248",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784631248",
            "telephone_number": "361-882-1917",
            "fax_number": "361-882-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S. STAPLES",
            "address_2": "#403",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78404",
            "telephone_number": "361-882-1917",
            "fax_number": "361-882-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRES BONELLI, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "BONELLI",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "361-882-1917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099781902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.