Active NPI
Bonnie Bock, CRNP
- Adult Health Nurse Practitioner
- Westminster, MD
National Provider Identifier
1881756237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R076572
- Practice address
- 2 College HL
Wellness Center - Winslow Center
Westminster, MD 21157-4303 - Phone
- (410) 857-2243
- NPI assigned
- Dec 14, 2006
- Last updated
- Jul 18, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R076572 | MD | Primary |
Addresses
Primary practice location
2 College HL
Wellness Center - Winslow Center
Westminster, MD 21157-4303
Mailing address
2945 Talbert CT
Finksburg, MD 21048-1948
Phone (410) 751-5350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R076572 | MD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDaniel College | Past | Accepting new patients |
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.
-
dba McDaniel College Wellness Center
- School Counselor
- Westminster, MD
- NPI 1235941568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1881756237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2945 TALBERT CT",
"city": "FINKSBURG",
"state": "MD",
"postal_code": "210481948",
"telephone_number": "410-751-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 COLLEGE HL",
"address_2": "WELLNESS CENTER - WINSLOW CENTER",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211574303",
"telephone_number": "410-857-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCK",
"first_name": "BONNIE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R076572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.