Joseph E Bonelli, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

27063 Issued in CO

Legal business name

JOSEPH E BONELLI, MD

Practice address

615 Fairhurst St
Sterling, CO 80751-4564

Phone

(970) 522-0122

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Joseph E Bonelli, MD

Title

Medical Director

Phone

(970) 522-0122

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1679510408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7643",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370643",
            "telephone_number": "970-663-2742",
            "fax_number": "970-667-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FAIRHURST ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514564",
            "telephone_number": "970-522-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH E BONELLI, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "BONELLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "970-522-0122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "27063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220009129",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01276039",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PINNACOL",
            "identifier": "M31406",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "06D0516879",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiley Johnson
• Melanie Carol Johnson, MA, LPC
• Michael R Johnson, D.C.
• Randall C Jones, DDS
• Stacy Jones
• Craig Jost, LPC
• Tonya Junod, LCSW
• Durand Jae Kahler, D.O.
• Michelle N Kaiser, OTR
• Meredith Kandoll

• Specialist in Sterling, CO
• Providers in Sterling, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.