Organization Active NPI

Bonfiglio Rehabilitation Services, PC

  • Physical Medicine & Rehabilitation Physician
  • Murrysville, PA
National Provider Identifier
1447260674
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301091328 Issued in MI
Legal business name
BONFIGLIO REHABILITATION SERVICES, PC
Practice address
5620 William Penn Hwy
Murrysville, PA 15632-9035
Phone
(412) 780-0741
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Randall C Bonfiglio, M.D.
Title
President
Phone
(412) 780-0741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 4301091328 MI Primary

Addresses

Primary practice location

5620 William Penn Hwy
Murrysville, PA 15632-9035

Mailing address

PO Box 248
Murrysville, PA 15668-0248
Phone (412) 977-0980

Other identifiers 1

IdentifierTypeStateIssuer
0019122100001MedicaidPA

National Provider Directory

National Provider Directory

Locations

4125 Old William Penn Hwy
Murrysville, PA 15668
Phone (412) 977-0980

5620 William Penn Hwy
Murrysville, PA 15632
Phone (412) 780-0741

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1447260674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156680248",
            "telephone_number": "412-977-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156329035",
            "telephone_number": "412-780-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONFIGLIO REHABILITATION SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "BONFIGLIO",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-780-0741",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301091328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019122100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.