Charley Erin Bonnin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12928 Issued in TX

Practice address

5656 Kelley St
Houston, TX 77026-1967

Phone

(713) 566-5100

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Pain Specialists PLLC 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Interventional Pain Specialists, PLLC

  • Specialist
  • Pasadena, TX
  • NPI 1730440785

  TX

  Medicare reassignment Care Compare group NPD
• Memorial Hermann Hospital Based Physician Group

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1295363497

  TX

  Medicare reassignment
• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933

  TX

  Medicare reassignment
• Universal Surgical Assistants Inc.

  • Surgical Technologist
  • Sugar Land, TX
  • NPI 1215220116

  TX

  Medicare reassignment
• Interventional Pain Specialists, PLLC

  • Interventional Pain Medicine Physician
  • Houston, TX
  • NPI 1407358641
  Care Compare group
• Interventional Pain Specialists, PLLC

  • Interventional Pain Medicine Physician
  • Texas City, TX
  • NPI 1508368747
  Care Compare group
• Methodist Health Centers

  • General Acute Care Hospital
  • Cypress, TX
  • NPI 1629828405
  NPD (past)
• Sienna Practitioners PLLC

  • Surgical Physician Assistant
  • Missouri City, TX
  • NPI 1750741047

  Surgical

  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1467007708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 KELLEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770261967",
            "telephone_number": "713-566-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 KELLEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770261967",
            "telephone_number": "713-566-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNIN",
        "first_name": "CHARLEY",
        "middle_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2021-03-10",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE EMPLOYER PTAN - USP",
            "identifier": "881227",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE EMPLOYER PTAN - USA",
            "identifier": "881228",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marian Edith Bonner, M.D.
• Michelle Bonner, PT, DPT
• Shaunta Lafaye Bonner, LVN
• Shawanna Bonner, RN
• Stephen Anthony Bonnette, MS LPC
• Jay A Bonnin, D.D.S.
• Ricardo M Bonnor, M.D.
• Bonny Ogar MD PLLC
• Megan Lee Bonny, DPT
• Victor Bonoan, PMHNP-BC

• All providers in Houston, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.