Organization Active NPI

Bonett Medical Center Corp

  • Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1629318415
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BONETT MEDICAL CENTER CORP
Practice address
2675 Winkler Ave
Suite 130
Fort Myers, FL 33901-9342
Phone
(239) 481-2200
Fax
(239) 481-2209
NPI assigned
Feb 15, 2013
Last updated
Feb 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Jaday Sigler
Title
Presdient
Phone
(239) 481-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FL Primary

Addresses

Primary practice location

2675 Winkler Ave
Suite 130
Fort Myers, FL 33901-9342

Mailing address

2675 Winkler Ave
Suite 130
Fort Myers, FL 33901-9342
Phone (239) 481-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130624000183 FL Part B Supplier - Clinic/Group Practice 4880833839 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

1630 Medical Ln
Fort Myers, FL 33907
Phone (239) 278-5700

2675 Winkler Ave
Ste 130
Fort Myers, FL 33901
Phone (239) 481-2200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1629318415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE",
            "address_2": "SUITE 130",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "239-481-2200",
            "fax_number": "239-481-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE",
            "address_2": "SUITE 130",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "239-481-2200",
            "fax_number": "239-481-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONETT MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "SIGLER",
        "authorized_official_first_name": "JADAY",
        "authorized_official_title_or_position": "PRESDIENT",
        "authorized_official_telephone_number": "239-481-2200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.