Individual provider Active NPI

Frank P. Bonikowski, M.D.

  • Neurology Physician
  • Corpus Christi, TX
National Provider Identifier
1700870508
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H2098 Issued in TX
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

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
117060702MedicaidTX
130013606OtherTXRAILROAD MEDICARE
812594OtherTXBCBS

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H2098TXMDPain 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.

Verify at the official NPI Registry.