William G Bonzelet MD, SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036091754 Issued in IL

Legal business name

WILLIAM G BONZELET MD, SC

Practice address

7 157 Ctr
Edwardsville, IL 62025-3657

Phone

(618) 659-2371

Fax

(618) 659-2375

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

William G Bonzelet, MD

Title

Owner

Phone

(618) 659-2371

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1487726782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 157 CTR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253657",
            "telephone_number": "618-659-2371",
            "fax_number": "618-659-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 157 CTR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253657",
            "telephone_number": "618-659-2371",
            "fax_number": "618-659-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G BONZELET MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "BONZELET",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-659-2371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036091754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn L Whitehead
• Yasmine Whitley, BSW
• Miranda Wilhelm, PHARM.D.
• James Christopher Wilhite, ATC
• Shelby Renee Willen, RN
• Alisa Williams, RN IBCLC
• Brianna Williams
• Charles Williams, DMD
• Dylan Stephan Williams, RN
• Kirstie Ali Williams

• Internal Medicine Physician in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.