Individual provider Active NPI

Victor J Bonuel, MD

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1801869862
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7208 Issued in NV
Practice address
2845 Siena Heights Dr
Henderson, NV 89052-4153
Phone
(702) 617-1227
Fax
(702) 560-2928
NPI assigned
Feb 9, 2006
Last updated
Aug 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7208 NV Primary

Addresses

Primary practice location

2845 Siena Heights Dr
Henderson, NV 89052-4153

Mailing address

PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 507-2419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040507000944 NV Practitioner - Internal Medicine 8224027099 Reassigns benefits to 1 organization
I20191210003591 AL Practitioner - Internal Medicine 8224027099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Oct 22, 2019 Accepting new patients
Healthcare Partners Medical Group Coats LTD Internal Medicine Current Accepting new patients
American Current Care PA CurrentSince Aug 21, 2017 Accepting new patients
American Family Care, LLC CurrentSince Oct 22, 2019 Accepting new patients
Linda L. Johnson MD, LTD Past Accepting new patients
Dr. Terry D. Johnson, P.a. Past Accepting new patients
Canyon Gate Medical Group, LLC Internal Medicine Past Accepting new patients
Physicians Medical Center Kaufman, LTD PastSince Apr 19, 2014 Accepting new patients

Locations

919 Odum Rd
Gardendale, AL 35071
Phone (205) 351-0149

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

149 N Gibson Rd
Ste H
Henderson, NV 89014
Phone (702) 558-6275

5850 Polaris Ave
Ste 100
Las Vegas, NV 89118
Phone (702) 739-9957

255 Glendale Ave
Ste 12
Sparks, NV 89431
Phone (775) 356-8181

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1801869862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145645",
            "telephone_number": "702-507-2419",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 SIENA HEIGHTS DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524153",
            "telephone_number": "702-617-1227",
            "fax_number": "702-560-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONUEL",
        "first_name": "VICTOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "7208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.