Active NPI
Neil Steven Bonnardel, D.C.
- Rehabilitation Chiropractor
- Hollywood, FL
National Provider Identifier
1497892004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH6879
- Practice address
- 2544 N State Road 7
Hollywood, FL 33021-3205 - Phone
- (954) 963-1899
- Fax
- (954) 963-5613
- NPI assigned
- Jan 31, 2007
- Last updated
- Aug 31, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH6879 | FL | Primary |
Addresses
Primary practice location
2544 N State Road 7
Hollywood, FL 33021-3205
Mailing address
18981 SW 32ND St
Miramar, FL 33029-5832
Phone (954) 963-1899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH6879 | FL | MD | Rehabilitation Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1497892004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18981 SW 32ND ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330295832",
"telephone_number": "954-963-1899",
"fax_number": "954-963-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2544 N STATE ROAD 7",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213205",
"telephone_number": "954-963-1899",
"fax_number": "954-963-5613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNARDEL",
"first_name": "NEIL",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH6879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.