Michael David Bono, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD065162L Issued in PA

Practice address

280 Middletown Blvd
Langhorne, PA 19047-1816

Phone

(267) 572-3100

Fax

(267) 572-3161

NPI assigned

Jun 21, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pennsylvania Department of Human Services

  • Intellectual Disabilities Intermediate Care Facility
  • Selinsgrove, PA
  • NPI 1508849738
  NPD (past)
• Surgical Specialists of Hazleton, P. C.

  • Surgery Physician
  • Hazleton, PA
  • NPI 1003851742
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1487690228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "WHITE HAVEN",
            "state": "PA",
            "postal_code": "186610158",
            "telephone_number": "570-288-8881",
            "fax_number": "570-288-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MIDDLETOWN BLVD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471816",
            "telephone_number": "267-572-3100",
            "fax_number": "267-572-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONO",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD065162L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017036400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BMG Circle of Life, LLC
• Adriana Boccuti, CRNP
• Stephen A Bogush, MD
• Bonnie S. Eldredge,O.D., Inc.
• Bono Surgical Specialties LLC
• Jameia Boone, LPC
• Bishnu Charan Borah, M.D.
• Victoria Bordeaux
• Jacqueline M Borman, PT
• Bernadett Boronea-Almasi, PHARMD

• Surgery Physician in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.