Individual provider Active NPI

Fernando B Bonanni Jr., MD

  • Surgery Physician
  • Quincy, IL
National Provider Identifier
1720080864
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036150949 Issued in IL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address fbonanni25383@blessing.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031204000073 PA Practitioner - General Surgery 8921903881 Reassigns benefits to 1 organization
I20200211001904 IL Practitioner - General Surgery 8921903881 Reassigns benefits to 1 organization

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
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians

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

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Dec 1, 2021 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Blessing Hospital CurrentSince Dec 1, 2021 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Surgical Care Specialists Inc Surgery Past Accepting new patients
Abington Memorial Hospital PastSince Jan 1, 2016 Accepting new patients
Blessing Hospital Past Accepting new patients
Blessing Corporate Services Inc Past Accepting new patients
Reading Surgical Associates P. C. PastSince Jul 1, 1995 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

  • Direct secure messaging: fernandobonanni@bcs.allscriptsdirect.net
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod
  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.