Active NPI
Bonfiglio Rehabilitation Services, PC
- Physical Medicine & Rehabilitation Physician
- Murrysville, PA
National Provider Identifier
1447260674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4301091328
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019122100001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.