Kirk Lee Bonner, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.024116 Issued in LA

Practice address

4710 S Carrollton Ave
New Orleans, LA 70119-6027

Phone

(504) 454-9020

Fax

(504) 454-9031

NPI assigned

Apr 28, 2006

Last updated

Jul 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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: Family Practice

Education

Tulane University School of Medicine, 1998

Medicare assignment

May accept Medicare assignment

Group practices

PMR la Holding, LLCGroup PAC ID 7315355062, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Bonners Primary Care LLC

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1770392425
  Medicare reassignment NPD Authorized official
• PMR la Holding, LLC

  dba Jencare Senior Medical Center

  • Specialist
  • Miami Gardens, FL
  • NPI 1700333689

  LA

  Medicare reassignment Care Compare group NPD
• Marillac Community Health Centers

  dba Daughters of Charity Health Center - Metairie

  • Primary Care Clinic/Center
  • Metairie, LA
  • NPI 1396059796
  Medicare reassignment NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD
• University Medical Center Management Corporation

  dba University Medical Center New Orleans

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1083655567
  Medicare reassignment NPD
• Marillac Community Health Centers

  dba DePaul Community Health Centers - Hammond

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1578442505
  NPD
• Marillac Community Health Centers

  dba Daughters of Charity Health Centers

  • Clinic/Center
  • Kenner, LA
  • NPI 1831594241

  Family Medicine

  NPD
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039

  Internal Medicine

  NPD
• Ochsner Clinic LLC

  dba Ochsner Health Center - Slidell

  • General Practice Physician
  • Slidell, LA
  • NPI 1326247172
  NPD
• University Medical Center Management Corporation

  dba University Medical Center New Orleans

  • Psychiatric Hospital Unit
  • New Orleans, LA
  • NPI 1144261728
  NPD
• University Healthcare System, LC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1942256383
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1649237090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 S CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196027",
            "telephone_number": "504-454-9020",
            "fax_number": "504-454-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 S CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196027",
            "telephone_number": "504-454-9020",
            "fax_number": "504-454-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "KIRK",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.024116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1572241",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Bonin, BCBA, LBA
• Tania Boniske, MD
• Jean-Victor Bonnaig, M.D.
• Bethany Dianne Bonner, PHARM.D,
• Breann A. Bonner, PA
• Bonners Primary Care LLC
• Lauren Bonneval, MD
• Frances Rosario Bonnin Serralles, AUD
• Sonya Isabel Bonnin-Serralles, MD
• Ross James Bonnot, MD

• Family Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.