Bonnie Jeannette McKinley, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS015235 Issued in PA

Practice address

1600 Market St Ste 1650
Philadelphia, PA 19103-7238

Phone

(215) 253-3852

Fax

(215) 253-4921

NPI assigned

Aug 26, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Family Practice

Education

Western Un of HLTH Sciences, Col of Podiatric Med, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vein Treatment NJ LLCGroup PAC ID 5496177149, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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 and National Provider Directory roles.

• Vein Treatment NJ LLC

  • Specialist
  • Clifton, NJ
  • NPI 1427670132
  Medicare reassignment Care Compare group
• Tower Health Urgent Care, LLC

  • Emergency Medicine Physician
  • Douglassville, PA
  • NPI 1194293647

  Family Medicine

  Medicare reassignment NPD
• Patient First Pennsylvania Medical Group PLLC

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1194039560

  Family Medicine, PA

  Medicare reassignment NPD
• Patient First Pennsylvania Medical Group PLLC

  • Family Medicine Physician
  • Fairless Hills, PA
  • NPI 1144870387
  NPD
• Patient First Pennsylvania Medical Group PLLC

  • Family Medicine Physician
  • Montgomeryville, PA
  • NPI 1568712677
  NPD

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1649403502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10871 BUSTLETON AVE STE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163301",
            "telephone_number": "215-253-3852",
            "fax_number": "215-253-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MARKET ST STE 1650",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037238",
            "telephone_number": "215-253-3852",
            "fax_number": "215-253-4921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085405789",
            "country_code": "US",
            "telephone_number": "973-500-6768",
            "fax_number": "620-679-1997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "BONNIE",
        "middle_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB12899500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne McKeown, PA-C
• Sarah McKeown, MS, LCGC
• Elizabeth Patrice McKernan, PH.D.
• Erica McKernan, MD
• Elizabeth McKey, PA-C
• Jamella T McKinley, M.S.
• Joseph Mark McKinnerney
• Charles McKinney
• Emily McKinney, MA, BC-DMT, LPC
• Laurence Timothy McKinney, M.D.

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.