Active NPI
Alexander C Bonner, DPM
- Foot & Ankle Surgery Podiatrist
- Coral Gables, FL
National Provider Identifier
1619959335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO626
- Practice address
- 1150 Campo Sano Ave
Suite 410
Coral Gables, FL 33146-1174 - Phone
- (305) 669-3339
- Fax
- (305) 233-5220
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO626 | FL | Primary |
Addresses
Primary practice location
1150 Campo Sano Ave
Suite 410
Coral Gables, FL 33146-1174
Mailing address
1150 Campo Sano Ave
Suite 410
Coral Gables, FL 33146-1174
Phone (305) 669-3339
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406480210 | Other | FL | RAILROAD MEDICARE |
| 650028975 | Other | FL | AETNA |
| 029603100 | Medicaid | FL | |
| 650025975 | Other | FL | TAX ID |
| 16002 | Other | FL | SFCN/PSN |
| 029603100 | Other | FL | SFCN |
| 650028975 | Other | FL | CIGNA |
| 650028975 | Other | FL | HEALTHOPTIONS |
| 87359 | Other | FL | BLUE CROSS BLUE SHIELD |
| 212695 | Other | FL | AVMED |
| 650028975 | Other | FL | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard a Whittington MD PA | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Coral Gables, FL
- NPI 1134322829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1619959335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 CAMPO SANO AVE",
"address_2": "SUITE 410",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331461174",
"telephone_number": "305-669-3339",
"fax_number": "305-233-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 CAMPO SANO AVE",
"address_2": "SUITE 410",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331461174",
"telephone_number": "305-669-3339",
"fax_number": "305-233-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "ALEXANDER",
"middle_name": "C",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "406480210",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "650028975",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029603100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "650025975",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFCN/PSN",
"identifier": "16002",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFCN",
"identifier": "029603100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "650028975",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHOPTIONS",
"identifier": "650028975",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "87359",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "212695",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "650028975",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.