Individual provider Active NPI

Bonnie Louise Wright, M.D.

  • Psychiatry Physician
  • Penndel, PA
National Provider Identifier
1528276805
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-053647-L Issued in PA
Practice address
1517 Durham Rd
Penndel, PA 19047-5707
Phone
(215) 752-1541
NPI assigned
May 18, 2007
Last updated
Aug 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-053647-L PA Primary

Addresses

Primary practice location

1517 Durham Rd
Penndel, PA 19047-5707

Mailing address

7645 Levis Rd
Cheltenham, PA 19012-1316
Phone (215) 782-3934

Other identifiers 1

IdentifierTypeStateIssuer
001492081MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090909000683 PA Practitioner - Psychiatry 5890840128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
21.56 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-053647-LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penndel Mental Health Center, Inc. CurrentSince Aug 3, 2009 Accepting new patients

Locations

2005 Cabot Blvd W
Ste 100
Langhorne, PA 19047
Phone (267) 587-2300

2080 Cabot Blvd W
Ste 100
Langhorne, PA 19047
Phone (267) 587-2390

1517 Durham Rd
Penndel, PA 19047
Phone (215) 752-1541

919 Durham Rd
Penndel, PA 19047
Phone (215) 750-7060

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1528276805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 LEVIS RD",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190121316",
            "telephone_number": "215-782-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 DURHAM RD",
            "city": "PENNDEL",
            "state": "PA",
            "postal_code": "190475707",
            "telephone_number": "215-752-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "BONNIE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD-053647-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001492081",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penndel, PA

Sources for this page

Verify at the official NPI Registry.