Individual provider Active NPI

Walter Morse Bonner Jr., M.D.

  • Rheumatology Physician
  • Mount Pleasant, SC
National Provider Identifier
1700849627
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
3839 Issued in SC
Practice address
890 Johnnie Dodds Blvd
Suite 2a
Mt Pleasant, SC 29464-6129
Phone
(843) 881-9971
Fax
(843) 881-9973
NPI assigned
Apr 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 3839 SC Primary

Addresses

Primary practice location

890 Johnnie Dodds Blvd
Suite 2a
Mt Pleasant, SC 29464-6129

Mailing address

890 Johnnie Dodds Blvd
Suite 2a
Mt Pleasant, SC 29464-6129
Phone (843) 881-9971

Other identifiers 2

IdentifierTypeStateIssuer
038391MedicaidSC
3839OtherSCSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates, P.a. Rheumatology Past Accepting new patients
East Cooper Rheumatology, PA Rheumatology PastSince May 17, 2010 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700849627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 2A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646129",
            "telephone_number": "843-881-9971",
            "fax_number": "843-881-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 2A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646129",
            "telephone_number": "843-881-9971",
            "fax_number": "843-881-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "WALTER",
        "middle_name": "MORSE",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": "3839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038391",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "3839",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.