Active NPI
Matthew R Bonsall, AUD.
- Audiologist
- Wyomissing, PA
National Provider Identifier
1851717482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006331
- 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, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1029042340001 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
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 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006331 | PA | MD | Audiologist |
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.
-
- Otolaryngology Physician
- Wyomissing, PA
- NPI 1366496473
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.