Bonne Sante Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

052252 Issued in GA

Legal business name

BONNE SANTE MEDICAL LLC

Practice address

2221 Peachtree Rd NE
Suite D 195
Atlanta, GA 30309-1148

Phone

(770) 994-0171

Fax

(770) 507-4190

NPI assigned

Jan 15, 2008

Last updated

Jul 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Waindel Belizaire, DONPI 1235193632

Title

Medical Director

Phone

(770) 994-0171

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Waindel Belizaire, D.O.

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1235193632
  Authorized official Same address or phone

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1770769242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE",
            "address_2": "SUITE D-195",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "770-994-0171",
            "fax_number": "770-507-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE",
            "address_2": "SUITE D 195",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "770-994-0171",
            "fax_number": "770-507-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNE SANTE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "BELIZAIRE",
        "authorized_official_first_name": "WAINDEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-994-0171",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "052252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara J Bonham, RD
• Deaxtra Bonham, WHNP
• Ashley Danielle Bonhomme, M.S. COUNSELING
• Jean Joseph Ernest Bonhomme, M.D., M.P.H.
• Natalie Bonilla-Durnell, NP-C
• Bonner Medical Hair Group Incorporated
• Darius Monteze Bonner
• Deborah Bonner, LMT, NCTMB
• Falon Bonner
• Jeralyn Wood Bonner, MSW

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.