Active NPI
Jenna R. Bonner, M.D.
- Emergency Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0084860
- Practice address
- 9000 Franklin Square Drive
Dept of Emergency Medicine
Baltimore, MD 21237 - Phone
- (443) 777-7606
- Fax
- (443) 777-7587
- NPI assigned
- Mar 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0084860 | MD | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
9000 Franklin Square Drive
Dept of Emergency Medicine
Baltimore, MD 21237
Mailing address
9000 Franklin Square Drive
Dept of Emergency Medicine
Baltimore, MD 21237
Phone (443) 777-7606
Other practice location 1
4755 Ogletown Stanton Rd
Department of Emergency Medicine
Newark, DE 19718-2200
Phone (302) 733-3901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 80.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0084860 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WHC Emerg Phys | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients |
Locations
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
Organizations & group practices 3
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1508250440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 FRANKLIN SQUARE DRIVE",
"address_2": "DEPT OF EMERGENCY MEDICINE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21237",
"telephone_number": "443-777-7606",
"fax_number": "443-777-7587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 FRANKLIN SQUARE DRIVE",
"address_2": "DEPT OF EMERGENCY MEDICINE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21237",
"telephone_number": "443-777-7606",
"fax_number": "443-777-7587"
}
],
"practiceLocations": [
{
"address_1": "4755 Ogletown Stanton Rd",
"address_2": "Department of Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197182200",
"country_code": "US",
"telephone_number": "302-733-3901",
"fax_number": "302-733-1595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONNER",
"first_name": "JENNA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0084860",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.