Bonner Sports and Physical Medicine, Inc..

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BONNER SPORTS AND PHYSICAL MEDICINE, INC..

Practice address

333 N Oxford Valley Rd Ste 105
Fairless Hills, PA 19030-2626

Phone

(215) 547-6611

Fax

(215) 547-1054

NPI assigned

Jan 9, 2007

Last updated

Sep 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William F Bonner, M.D.NPI 1710036926

Title

Office

Phone

(215) 547-6611

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William F Bonner, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fairless Hills, PA
  • NPI 1710036926
  Medicare reassignment Care Compare group NPD Authorized official
• Meghan Bonner, CRNP

  • Gerontology Nurse Practitioner
  • Fairless Hills, PA
  • NPI 1629683115
  Medicare reassignment Care Compare group NPD
• Noby Sajan, CRNP

  • Family Nurse Practitioner
  • Fairless Hills, PA
  • NPI 1679335780
  Medicare reassignment Care Compare group NPD
• Anita Acharya, CRNP

  • Family Nurse Practitioner
  • Bensalem, PA
  • NPI 1003575119
  Medicare reassignment NPD
• Barry D Fass, MD

  • Physical Medicine & Rehabilitation Physician
  • Hamilton, NJ
  • NPI 1740396308
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1851440028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD STE 105",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302626",
            "telephone_number": "215-547-6611",
            "fax_number": "215-547-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD STE 105",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302626",
            "telephone_number": "215-547-6611",
            "fax_number": "215-547-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNER SPORTS AND PHYSICAL MEDICINE, INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "215-547-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1539034",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBX",
            "identifier": "2426694000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5461117",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBX",
            "identifier": "071950000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Rose Home Care, LLC
• Jeffrey Ray Blumenthal, MD
• BMC Primary Care Physicians LLC
• Harshil Boghara, DMD
• Yash Boghara, DMD
• Meghan Bonner, CRNP
• William F Bonner, M.D.
• Maria Brachelli-Pigeon, LMFT
• Jacqueline Breault, M.A L.B.S
• Tracy Hampton Brown, PT, DPT, CIMT

• Physical Medicine & Rehabilitation Physician in Fairless Hills, PA
• Providers in Fairless Hills, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.