Organization Active NPI

Bonners Primary Care LLC

  • Family Medicine Physician
  • New Orleans, LA
National Provider Identifier
1770392425
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BONNERS PRIMARY CARE LLC
Practice address
2820 Napoleon Ave Ste 990
New Orleans, LA 70115-8201
Phone
(504) 347-1333
Fax
(504) 347-4755
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Kirk Lee Bonner, MDNPI 1649237090
Title
Owner
Phone
(504) 347-1333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2820 Napoleon Ave Ste 990
New Orleans, LA 70115-8201

Mailing address

2820 Napoleon Ave Ste 990
New Orleans, LA 70115-8201
Phone (504) 383-9963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250226000712 LA Part B Supplier - Clinic/Group Practice 1850811407 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

2820 Napoleon Ave
Ste 990
New Orleans, LA 70115
Phone (504) 347-1333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1770392425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NAPOLEON AVE STE 990",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701158201",
            "telephone_number": "504-383-9963",
            "fax_number": "504-383-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NAPOLEON AVE STE 990",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701158201",
            "telephone_number": "504-347-1333",
            "fax_number": "504-347-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNERS PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-347-1333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.