Eugene Vincent Bonventre, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Practice address

Pentagon Flight Medicine Clinic
1760 Air Force Pentagon Room 4A674
Washington, DC 20330-1760

Phone

(703) 697-3255

Fax

(703) 614-1663

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1831271402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 12TH PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200097510",
            "telephone_number": "703-697-0561",
            "fax_number": "703-693-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PENTAGON FLIGHT MEDICINE CLINIC",
            "address_2": "1760 AIR FORCE PENTAGON ROOM 4A674",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203301760",
            "telephone_number": "703-697-3255",
            "fax_number": "703-614-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONVENTRE",
        "first_name": "EUGENE",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent H Bono, M.D.
• Alyssa Angela Bonomo, DDS
• Bonstar Services LLC
• Bonstar Services LLC
• Caroline Bonu
• Claire O'Connell Boogaard, MD
• Alan Louis Book, D.D.S.
• Doreen Bookard
• Kim Melissa Bookard, MSW
• Booker T. Washington Public Charter School for Technical Arts

• Surgery Physician in Washington, DC
• Providers in Washington, DC by specialty
• Surgery Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.