Bonnie J Lee, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

1711891205 Issued in UT

Practice address

554 S 800 E
SLC, UT 84102-2931

Phone

(801) 557-4595

Fax

(801) 596-8080

NPI assigned

Aug 31, 2005

Sex

Female

Sole proprietor

Yes

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

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.

• Physician House Calls, Inc.

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1093743155
  NPD (past) Authorized official

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1790779106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2106",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840912106",
            "telephone_number": "801-557-4595",
            "fax_number": "801-596-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 S 800 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841022931",
            "telephone_number": "801-557-4595",
            "fax_number": "801-596-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BONNIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "UT",
            "license": "1711891205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790779106",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micah Lawrence, PA-C
• Kendyl Leasure, CMHC
• Lydia Leavitt, MD
• Sarah Leavitt
• Mikaeli Lechuga
• Cindy Elizabeth Lee, LMT
• Helen C Lee, R.D.
• Ivy Lee, RBT
• Richard E Lee
• Kellie Lees

• Geriatric Medicine (Internal Medicine) Physician in SLC, UT
• Providers in SLC, UT by specialty
• Geriatric Medicine (Internal Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.