Individual provider Active NPI

Christopher M Bonci, PA-C

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1750771986
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA5199 Issued in MA
Practice address
271 Carew St
Springfield, MA 01104
Phone
(413) 748-9000
NPI assigned
Jan 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5199 MA Primary

Addresses

Primary practice location

271 Carew St
Springfield, MA 01104

Mailing address

280 Tinkham Rd.
Health Services
Springfield, MA 01129
Phone (413) 731-4997

Other practice location 1

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000

Other practice location 2

430 Cooley St
Springfield, MA 01128-1180
Phone (413) 782-0320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Massachusetts CurrentSince Apr 27, 2018 Accepting new patients
Medexpress Urgent Care, PC - Massachusetts CurrentSince Apr 27, 2018 Accepting new patients
Health Imperatives, Inc Past Accepting new patients
Emergency Medicine Solutions, LLC Past Accepting new patients
Baystate Medical Practices, Inc Past Accepting new patients

Locations

1505 Memorial Dr
Chicopee, MA 01020
Phone (413) 331-4336

430 Cooley St
Springfield, MA 01128
Phone (413) 295-4144

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1750771986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 TINKHAM RD.",
            "address_2": "HEALTH SERVICES",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01129",
            "telephone_number": "413-731-4997",
            "fax_number": "413-783-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-748-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "271 Carew St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011042377",
            "country_code": "US",
            "telephone_number": "413-748-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Cooley St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011281180",
            "country_code": "US",
            "telephone_number": "413-782-0320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONCI",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.