Individual provider Active NPI

Matthew R Bonsall, AUD.

  • Audiologist
  • Wyomissing, PA
National Provider Identifier
1851717482
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006331 Issued in PA
Practice address
985 Berkshire Blvd
Suite 101
Wyomissing, PA 19610-1268
Phone
(610) 374-5599
Fax
(610) 375-1262
NPI assigned
Mar 6, 2014
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006331 PA Primary

Addresses

Primary practice location

985 Berkshire Blvd
Suite 101
Wyomissing, PA 19610-1268

Mailing address

985 Berkshire Blvd
Suite 101
Wyomissing, PA 19610-1268
Phone (610) 374-5599

Other identifiers 1

IdentifierTypeStateIssuer
1029042340001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbonsall@ent985.medentdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140414000546 PA Practitioner - Qualified Audiologist 4486886041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Head and Neck Specialists, PCGroup PAC ID 3173500451, 11 clinicians

Practice addresses (Care Compare)

985 Berkshire Blvd
Suite 101
Wyomissing, PA 19610-1268
Phone (610) 374-5599

Merit-based Incentive Payment System (MIPS)

Final score
91.73 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
72.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006331PAMDAudiologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1851717482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 BERKSHIRE BLVD",
            "address_2": "SUITE 101",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101268",
            "telephone_number": "610-374-5599",
            "fax_number": "610-375-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 BERKSHIRE BLVD",
            "address_2": "SUITE 101",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101268",
            "telephone_number": "610-374-5599",
            "fax_number": "610-375-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSALL",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "credential": "AUD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029042340001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbonsall@ent985.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "985 Berkshire Blvd",
            "address_2": "Suite 101",
            "city": "Wyomissing",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196101268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.