Bonsai Medical LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

BONSAI MEDICAL LLC

Practice address

3900 N Causeway Blvd Ste 1470
Metairie, LA 70002-7253

Phone

(281) 930-5182

NPI assigned

Sep 26, 2017

Organization subpart

No

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

Authorized official

Name

Peter J Bennett

Title

Owner

Phone

(281) 547-0706

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1871002451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 N HIGHWAY 146",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775231000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N CAUSEWAY BLVD STE 1470",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027253",
            "telephone_number": "281-930-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONSAI MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-547-0706"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Seymour Bonds, RN
• Leigh Lorraine Bondurant, PLPC
• Robin B Bone, M.D.
• Patrick Lyons Bonneval, M.D.
• Lauren Elizabeth Bono Sunshine, LCSW
• Laurie Bonura, LMSW, MED
• Lindsey Bonura, FNP
• Marshall Keller Book, MD
• Randee L Booksh, PH.D
• Edward Joseph Boos, D.D.S.

• Physiological Laboratory in Metairie, LA
• Providers in Metairie, LA by specialty
• Physiological Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.