Organization Active NPI

Bonro Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Evans, GA
National Provider Identifier
1659313112
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BONRO MEDICAL INC
Practice address
4490 Washington Rd
Building 100 Suite 16
Evans, GA 30809-3800
Phone
(706) 210-4747
Fax
(706) 210-4740
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Mr. George Paul Roese
Title
Owner/President
Phone
(706) 210-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4490 Washington Rd
Building 100 Suite 16
Evans, GA 30809-3800

Mailing address

PO Box 1880
Evans, GA 30809-1880
Phone (706) 210-4747

National Provider Directory

National Provider Directory

Locations

3801 Washington Rd
Ste A
Augusta, GA 30907

4490 Washington Rd
Bldg 100
Evans, GA 30809
Phone (706) 210-4747

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1659313112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1880",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308091880",
            "telephone_number": "706-210-4747",
            "fax_number": "706-210-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 WASHINGTON RD",
            "address_2": "BUILDING 100 SUITE 16",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093800",
            "telephone_number": "706-210-4747",
            "fax_number": "706-210-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONRO MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "ROESE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "706-210-4747",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.