Pedro J. Bonilla, MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PEDRO J. BONILLA, MD PC

Practice address

1415 Beacon St
Suite 320
Brookline, MA 02446-4816

Phone

(617) 933-8130

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Pedro Jose Bonilla, MD

Title

Psychiatrist

Phone

(781) 696-9035

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1548516008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST",
            "address_2": "SUITE 320",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464816",
            "telephone_number": "617-933-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST",
            "address_2": "SUITE 320",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464816",
            "telephone_number": "617-933-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO J. BONILLA, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "781-696-9035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin D. Pearlman, MD ME PHD MA
• Madeline Dymsza Pearlmutter, MSW
• Amy Pearsall, M.D.
• Laura Pechersky
• Pediatric Dental Associates of Brookline, PC
• Holly Pelletier
• Si-Liang Peng
• Siyu Peng
• Ava Bry Penman
• Maya Peretzman, PH.D

• Psychiatry Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Psychiatry Physician in Massachusetts

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