Active NPI
Fernando B Bonanni Jr., MD
- Surgery Physician
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036150949
- Practice address
- 1107 College Ave
Quincy, IL 62301-2600 - Phone
- (217) 214-5800
- Fax
- (217) 214-5805
- NPI assigned
- Aug 10, 2005
- Last updated
- Sep 10, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD048271L | PA | |
| Surgery Physician | 208600000X | 036150949 | IL | Primary |
Addresses
Primary practice location
1107 College Ave
Quincy, IL 62301-2600
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other practice location 1
225 Newtown Rd
2nd Floor
Warminster, PA 18974-5221
Phone (215) 441-6800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fbonanni25383@blessing.medalliesdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Hahnemann University College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
1107 College Ave
Suite 1
Quincy, IL 62301-2600
Phone (217) 224-6423
20 Whitman CT
Warminster, PA 18974-2335
Phone (217) 224-6423
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| Surgical Care Specialists Inc | Surgery | Past | Accepting new patients |
| Abington Memorial Hospital | Past | Accepting new patients | |
| Blessing Hospital | Past | Accepting new patients | |
| Blessing Corporate Services Inc | Past | Accepting new patients | |
| Reading Surgical Associates P. C. | Past | Accepting new patients |
Locations
1005 Broadway St
Quincy, IL 62301
1107 College Ave
Quincy, IL 62301
Phone (217) 214-5800
1107 College Ave
Ste 1
Quincy, IL 62301
Phone (217) 222-2229
Interoperability endpoints
- fernandobonanni@bcs.allscriptsdirect.net
- https://fhir.blessinghospital.com/R4/open-Prod
- https://fhir4.healow.com/fhir/r4/CECJAA
Organizations & group practices 9
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1114773272
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1083895452
-
dba Blessing Health Monroe City
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
dba Hamilton Warsaw Clinic
- Rural Health Clinic/Center
- Warsaw, IL
- NPI 1720186265
-
dba Blessing ER Physician Group
- Emergency Medical Services (Emergency Medicine) Physician
- Quincy, IL
- NPI 1558489021
-
dba Abington Pulmonary and Critical Care Associates
- Pulmonary Disease Physician
- Blue Bell, PA
- NPI 1487028262
-
- Specialist
- Wyomissing, PA
- NPI 1821187980
-
- Surgery Physician
- Abington, PA
- NPI 1346386398
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1720080864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-8400",
"fax_number": "217-277-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 COLLEGE AVE",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012600",
"telephone_number": "217-214-5800",
"fax_number": "217-214-5805"
}
],
"practiceLocations": [
{
"address_1": "225 Newtown Rd",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "Warminster",
"state": "PA",
"postal_code": "189745221",
"country_code": "US",
"telephone_number": "215-441-6800",
"fax_number": "215-441-6810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONANNI",
"first_name": "FERNANDO",
"middle_name": "B",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD048271L",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036150949",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fbonanni25383@blessing.medalliesdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1107 College Ave",
"city": "Quincy",
"state": "IL",
"country_code": "US",
"postal_code": "623012600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.