Shauntelle Dene Bonman, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A11751 Issued in CA

Practice address

101C N Greenville Ave # 616
Allen, TX 75002-2235

Phone

(972) 478-0696

Fax

(844) 296-5471

NPI assigned

Oct 12, 2011

Last updated

Nov 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19817/brand/1/csg/1/fhir/r4
• Direct secure messaging: shauntelle.bonman.1@19817.direct.athenahealth.com

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.

• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429
  Medicare reassignment NPD
• County of Los Angeles

  dba County of Los Angeles Harbor UCLA Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• Doctor Mom PLLC

  • Family Medicine Physician
  • Allen, TX
  • NPI 1750941118
  NPD Authorized official
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• County of Los Angeles

  dba El Monte CHC

  • Clinic/Center
  • El Monte, CA
  • NPI 1528079233
  NPD
• Goldencast Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1952550097
  NPD (past)
• Prohealth Partners a Medical Group Inc

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1093848509

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1811272719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101C N GREENVILLE AVE # 616",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022235",
            "telephone_number": "972-478-0696",
            "fax_number": "844-296-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101C N GREENVILLE AVE # 616",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022235",
            "telephone_number": "972-478-0696",
            "fax_number": "844-296-5471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153048",
            "country_code": "US",
            "telephone_number": "213-307-2037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Custer Rd # 270-7004",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "75075",
            "country_code": "US",
            "telephone_number": "972-478-0696",
            "fax_number": "844-296-5471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONMAN",
        "first_name": "SHAUNTELLE",
        "middle_name": "DENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R4191",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Teresa Boidock, DPT
• Brianna Bolden
• Sonya Bolden, MSW LCSW
• Robin Bolla Jr., OTR, OTD
• Mary Josephine Boney
• Natasha Bonner, D.C.
• Anna Victoria Bordelon, LCSW, DCSW
• Alisia Marie Borja
• Rebecca Paradis Bork, D.D.S.
• Jennifer Michelle Boswell, FNP

• Family Medicine Physician in Allen, TX
• Providers in Allen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.