Bonham LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BONHAM LLC

Practice address

130 Inverness PLZ # 185
Birmingham, AL 35242-4800

Phone

(205) 259-8223

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Lauren S Hutts, MDNPI 1619257110

Title

Provider/Owner

Phone

(205) 291-1455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Hutts, MD

  • Physical Medicine & Rehabilitation Physician
  • Birmingham, AL
  • NPI 1619257110
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1821753344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 INVERNESS PLZ # 185",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424800",
            "telephone_number": "205-259-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INVERNESS PLZ # 185",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424800",
            "telephone_number": "205-259-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "HUTTS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "205-291-1455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winkler Devere Bond, M.D.
• Cara C Bondly, M.D.
• Deborah J Bonds, PA-C
• Lisa Marie Bonds
• William Bonduris
• Anthony Jacob Bonner, DNP, CRNA, RN
• Emily Anne Bonner, M.S., OTR/L
• Henry Vinson Bonner IV, MD
• James A Bonner, MD
• Jessica Bonner

• Physical Medicine & Rehabilitation Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Medicine & Rehabilitation Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.