Bonnie J Dungan MD LLC

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

BONNIE J DUNGAN MD LLC

Practice address

1736 E Main St
Dothan, AL 36301-3040

Phone

(334) 796-2380

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Bonnie J Dungan, MDNPI 1508867904

Title

Sole Member

Phone

(334) 796-2328

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie J. Dungan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Dothan, AL
  • NPI 1508867904
  Medicare reassignment NPD Authorized official
• Sara Hilton Allen, CRNP

  • Nurse Practitioner
  • Dothan, AL
  • NPI 1154841187
  Medicare reassignment NPD

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1699369199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 TELFORD PL",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363056954",
            "telephone_number": "334-796-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013040",
            "telephone_number": "334-796-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE J DUNGAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "DUNGAN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "334-796-2328",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie S Bolton, CRNA
• Jostlyn Marie Bomhard, RD
• Shamika Bonds, MSW
• Brytney Bonham
• Jennifer Baumann Bonney, M.ED., BCBA, LBA
• Adam L Borcik, RPT
• Filippo Borsellino, PA
• Kara Lane Bortz, PT, DPT
• Juan Botero-Giraldo
• Angela Lynne Bott, DO

• Rehabilitation Hospital Unit in Dothan, AL
• Providers in Dothan, AL by specialty
• Rehabilitation Hospital Unit in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.