Active NPI
Frank P. Bonikowski, M.D.
- Neurology Physician
- Corpus Christi, TX
National Provider Identifier
1700870508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- H2098
- Practice address
- 1521 S Staples St
Ste. 402
Corpus Christi, TX 78404-3150 - Phone
- (361) 883-1731
- Fax
- (361) 883-1440
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | H2098 | TX | |
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | H2098 | TX | |
| Clinical Neurophysiology Physician | 2084N0600X | H2098 | TX | |
| Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 2084D0003X | H2098 | TX | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | H2098 | TX | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | H2098 | TX | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | H2098 | TX | |
| Neurology Physician | 2084N0400X | H2098 | TX | Primary |
Addresses
Primary practice location
1521 S Staples St
Ste. 402
Corpus Christi, TX 78404-3150
Mailing address
1521 S Staples St
Suite 402
Corpus Christi, TX 78404-3150
Phone (361) 883-1731
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117060702 | Medicaid | TX | |
| 130013606 | Other | TX | RAILROAD MEDICARE |
| 812594 | Other | TX | BCBS |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2098 | TX | MD | Pain Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1700870508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 S STAPLES ST",
"address_2": "SUITE 402",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784043150",
"telephone_number": "361-883-1731",
"fax_number": "361-883-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 S STAPLES ST",
"address_2": "STE. 402",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784043150",
"telephone_number": "361-883-1731",
"fax_number": "361-883-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONIKOWSKI",
"first_name": "FRANK",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "H2098",
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "TX",
"license": "H2098",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "TX",
"license": "H2098",
"primary": false
},
{
"code": "2084D0003X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
"state": "TX",
"license": "H2098",
"primary": false
},
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "TX",
"license": "H2098",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "TX",
"license": "H2098",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "TX",
"license": "H2098",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "H2098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117060702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130013606",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "812594",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.