Stephanie Lynn Bonham, PA-C, MS, MPT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-00580 Issued in NC

Practice address

3116 N Duke St
Durham, NC 27704-2102

Phone

(919) 660-2358

Fax

(919) 660-8568

NPI assigned

Nov 16, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duke Health Integrated Practice IncGroup PAC ID 8325412737, shared by 15 NPIs, 3,140 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: sbonham12756@direct.medicine.duke.edu

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598838518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 N DUKE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042102",
            "telephone_number": "919-660-2358",
            "fax_number": "919-660-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 N DUKE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042102",
            "telephone_number": "919-660-2358",
            "fax_number": "919-660-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHAM",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C, MS, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romin Bonakdar
• Jennifer L Bonano, MS, OTR/L
• Madeline Bonchick
• Elizabeth Clare Bond, MB CHB
• Dennis Robert Bongiorni, MHS, PT
• Donna Sue Boni, LCAS
• Andrew Bonin, M.D.
• Danielle Bonner
• Elizabeth Kimley Bonner, CPNP-AC
• Jason Edward Bonner, PH.D.

• Physician Assistant in Durham, NC
• Providers in Durham, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.