Active NPI
William James Bonner, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- ME129977
- Practice address
- 4960 SW 72ND Ave Ste 408
Miami, FL 33155-5506 - Phone
- (786) 522-4959
- Fax
- (786) 522-4959
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME129977 | FL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD450453 | PA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | ME129977 | FL | Primary |
Addresses
Primary practice location
4960 SW 72ND Ave Ste 408
Miami, FL 33155-5506
Mailing address
4960 SW 72ND Ave Ste 408
Miami, FL 33155-5506
Phone (786) 517-4577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019186500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140807000232 | PA | Practitioner - Physical Medicine and Rehabilitation | 3779700208 |
Reassigns benefits to 2 organizations Practice locations: Chester, PA |
| I20161228001289 | FL | Practitioner - Physical Medicine and Rehabilitation | 3779700208 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Temple University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ortho Florida LLC
Practice addresses (Care Compare)
4960 SW 72ND Ave
Suite 408
Miami, FL 33155-5506
Phone (786) 517-4577
6125 SW 31St St
Miami, FL 33155-3003
Phone (305) 666-6511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME129977 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Florida, LLC | Multi-Specialty | Current | Accepting new patients |
| University of Penn-Medical Group | Multi-Specialty | Current | Accepting new patients |
| University of Penn-Medical Group | Multi-Specialty | Current | Accepting new patients |
| University of Penn-Medical Group | Multi-Specialty | Current | Accepting new patients |
| Ortho Florida, LLC | Multi-Specialty | Current | Accepting new patients |
| Physical Therapy Physicians PC | Multi-Specialty | Past | Accepting new patients |
| Matmed LLC | Past | Accepting new patients |
Locations
660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792
433 Plaza Real
Ste 275
Boca Raton, FL 33432
Phone (561) 262-0084
9195 Sunset Dr
Ste 100
Miami, FL 33173
Phone (305) 598-3223
4960 SW 72nd Ave
Ste 408
Miami, FL 33155
Phone (786) 517-4577
6125 SW 31st St
Miami, FL 33155
Phone (305) 662-5056
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
1800 Lombard St
Philadelphia, PA 19146
Phone (215) 545-4173
3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428
Interoperability endpoints
- william.bonner@direct.einstein.edu
Organizations & group practices 27
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.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
Multi-Specialty, PA
-
- Physical Medicine & Rehabilitation Physician
- Chester, PA
- NPI 1285654129
PA
-
- Orthopaedic Surgery Physician
- Nokomis, FL
- NPI 1013602283
-
- Sports Medicine (Emergency Medicine) Physician
- South Miami, FL
- NPI 1023539574
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Miami, FL
- NPI 1023575834
-
- Foot & Ankle Surgery Podiatrist
- Orlando, FL
- NPI 1124779665
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Aventura, FL
- NPI 1164984720
-
- Podiatrist
- Jupiter, FL
- NPI 1174289045
-
- Orthopaedic Surgery Physician
- Sarasota, FL
- NPI 1205514114
-
- Foot & Ankle Surgery Podiatrist
- West Palm Beach, FL
- NPI 1326504416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1487919759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4960 SW 72ND AVE STE 408",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555506",
"telephone_number": "786-517-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4960 SW 72ND AVE STE 408",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555506",
"telephone_number": "786-522-4959",
"fax_number": "786-522-4959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "WILLIAM",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME129977",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD450453",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "FL",
"license": "ME129977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019186500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.