Individual provider Active NPI

Bonnie Wang, MD

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1881982502
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME128968 Issued in FL
Practice address
3534 Fruitville Rd
Sarasota, FL 34237-9026
Phone
(941) 893-2688
Fax
(941) 893-2690
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME128968 FL Primary

Addresses

Primary practice location

3534 Fruitville Rd
Sarasota, FL 34237-9026

Mailing address

3532 Fruitville Rd
Sarasota, FL 34237-9026
Phone (941) 893-2688

Other practice location 1

3530 Fruitville Rd
Sarasota, FL 34237-9026
Phone (941) 893-2688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828000403 FL Practitioner - NeurologyPractitioner - Internal Medicine 3476825399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Re3 Stem Cell and Healing Institute PLLCGroup PAC ID 2163795832, 5 clinicians

Practice addresses (Care Compare)

3534 Fruitville Rd
Sarasota, FL 34237-9026
Phone (941) 893-2688

Hospital & facility affiliations

  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion62
Laminectomy or laminotomy (partial removal of spine bones)43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME128968FLMDInternal Medicine Physician
ME128965FLMDNeurocritical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Re3 Stem Cell and Healing Institute PLLC Internal Medicine CurrentSince Jul 21, 2017 Accepting new patients
SMH Physician Services Inc Internal Medicine CurrentSince Aug 28, 2017 Accepting new patients
Spartan Anesthesia Associates PA PastSince Feb 19, 2023 Accepting new patients

Locations

8340 Lakewood Ranch Blvd
Ste 180
Lakewood Ranch, FL 34202
Phone (941) 748-2455

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

3534 Fruitville Rd
Sarasota, FL 34237
Phone (941) 893-2688

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

4012 Sawyer Rd
Ste 101104
Sarasota, FL 34233
Phone (941) 893-2688

3530 Fruitville Rd
Sarasota, FL 34237
Phone (941) 552-8808

3532 Fruitville Rd
Sarasota, FL 34237
Phone (941) 893-2688

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bonnie.wang.1@23144.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1881982502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342379026",
            "telephone_number": "941-893-2688",
            "fax_number": "941-893-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342379026",
            "telephone_number": "941-893-2688",
            "fax_number": "941-893-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 Fruitville Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342379026",
            "country_code": "US",
            "telephone_number": "941-893-2688",
            "fax_number": "941-893-2690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "BONNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME128968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.