Michelle R Bonness, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

38739-020 Issued in WI

Practice address

20320 W Greenfield Ave
Brookfield, WI 53045-3737

Phone

(262) 782-7021

Fax

(262) 782-8738

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michelle R Bonness, M.D. S.C.

  • Plastic Surgery Physician
  • Waukesha, WI
  • NPI 1164607909

  Plastic Surgery

  NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1720183130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20320 W GREENFIELD AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453737",
            "telephone_number": "262-782-7021",
            "fax_number": "262-782-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20320 W GREENFIELD AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453737",
            "telephone_number": "262-782-7021",
            "fax_number": "262-782-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNESS",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WI",
            "license": "38739-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32428700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri Bohlman, PT
• Kimberly Lynne Bohmann, OT
• Ashlyn Bolstad, NP
• Autumn Hope Bongers
• Brian Bonk
• Gail Lynn Bonofiglio, LAT
• Lisa Booz, OT
• Tyler Bopp, HIS
• Ashley Nicole Borkenhagen
• Melanie Borland

• All providers in Brookfield, WI
• Plastic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.