Terry-Jan Blackett-Bonnett, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

213623 Issued in NY

Practice address

1530 Bedford Ave # 2
Brooklyn, NY 11216-4117

Phone

(347) 404-6508

Fax

(718) 484-2415

NPI assigned

Apr 19, 2007

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

T Bonnett Medical Services PCGroup PAC ID 4385912641, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGHFAA/Endpoint/BGHFAA

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.

• T. Bonnett Medical Services P.C

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1144461146
  Medicare reassignment Care Compare group
• Suite 69 Medical PC

  dba Mindcore

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1104634773
  NPD Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1568689099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BEDFORD AVE # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164117",
            "telephone_number": "347-404-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BEDFORD AVE # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164117",
            "telephone_number": "347-404-6508",
            "fax_number": "718-484-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKETT-BONNETT",
        "first_name": "TERRY-JAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "213623",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "213623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01988696",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Frances Black, COTA
• Talitha A Black
• Tamara Black, LCSW-R
• Irene Patricia Blackburn, RN
• Travis J Blackburn, DPM
• Shatequa Blackett-Robinson, LMSW
• Anna Noble Blackett, CNM
• Kamaria Akilah Blackett, PT
• Terrel Amanda Blackett
• Indigo Blackford

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.

Verify at the official NPI Registry.