Active NPI
Bonnie H. Reibman, M.D.
- Pediatrics Physician
- East Greenwich, RI
National Provider Identifier
1821067372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD 10034
- Practice address
- 1377 S County TRL
Suite 2B
East Greenwich, RI 02818-5082 - Phone
- (401) 884-8900
- Fax
- (401) 884-9199
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD 10034 | RI | Primary |
Addresses
Primary practice location
1377 S County TRL
Suite 2B
East Greenwich, RI 02818-5082
Mailing address
1377 S County TRL
Suite 2B
East Greenwich, RI 02818-5082
Phone (401) 884-8900
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000023951 | Other | RI | BC/BS-RI |
| 2639251 | Other | RI | AETNA/US HEALTHCARE |
| P2317736 | Other | RI | OXFORD |
| 05-0517985 | Other | RI | TAX ID |
| 047697 | Other | RI | TUFTS |
| 405465 | Other | RI | BC/BS-RI BLUE CHIP |
| 2465 | Other | RI | NHP-RI |
| 5118206 | Other | RI | AETNA/ US HEALTHCARE |
| 1553812 | Other | RI | GHI HMO |
| 419474 | Other | RI | USFHP |
| AA34536 | Other | RI | HPHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 10034 | RI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821067372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 S COUNTY TRL",
"address_2": "SUITE 2B",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028185082",
"telephone_number": "401-884-8900",
"fax_number": "401-884-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1377 S COUNTY TRL",
"address_2": "SUITE 2B",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028185082",
"telephone_number": "401-884-8900",
"fax_number": "401-884-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIBMAN",
"first_name": "BONNIE",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD 10034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS-RI",
"identifier": "0000023951",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "2639251",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2317736",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "05-0517985",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "047697",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS-RI BLUE CHIP",
"identifier": "405465",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP-RI",
"identifier": "2465",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/ US HEALTHCARE",
"identifier": "5118206",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "1553812",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USFHP",
"identifier": "419474",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA34536",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.