NPIMap

Individual provider Active NPI

Brittani D Bonner, PA-C

  • Physician Assistant
  • Suffolk, VA
National Provider Identifier
1891034856
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008551 Issued in VA
Practice address
3235 Bridge Rd Ste 15
Suffolk, VA 23435-1780
Phone
(757) 606-1656
Fax
(757) 606-1657
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-04003 NC
Physician Assistant 363A00000X 0110008551 VA Primary

Addresses

Primary practice location

3235 Bridge Rd Ste 15
Suffolk, VA 23435-1780

Mailing address

3235 Bridge Rd Ste 15
Suffolk, VA 23435-1780
Phone (757) 606-1656

Other identifiers 1

IdentifierTypeStateIssuer
0010-04003OtherNCNC MEDCIAL BOARD LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708003444 VA Practitioner - Physician Assistant 1557509908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PC 311 clinicians

Practice addresses (Care Compare)

111 Mill Creek Pkwy
Suite 300
Chesapeake, VA 23323-1098
Phone (757) 558-8210

2000 Meade Pkwy
Suffolk, VA 23434-4259
Phone (757) 934-9395

3235 Bridge Rd
Suite 15
Suffolk, VA 23435-1780
Phone (757) 606-1656

4868 Bridge Rd
Suffolk, VA 23435-2048
Phone (757) 483-7113

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Aug 1, 2022 Accepting new patients
Bayview Physician Services, PC CurrentSince Aug 1, 2022 Accepting new patients
Bayview Physician Services, PC Past Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients

Locations

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

3235 Bridge Rd
Ste 15
Suffolk, VA 23435
Phone (757) 606-1656

Interoperability endpoints

  • Direct secure messaging: brittani.bonner@bayview.eclinicaldirectplus.com

Organizations & group practices 5

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 11

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1891034856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 BRIDGE RD STE 15",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351780",
            "telephone_number": "757-606-1656",
            "fax_number": "757-606-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 BRIDGE RD STE 15",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351780",
            "telephone_number": "757-606-1656",
            "fax_number": "757-606-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "BRITTANI",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04003",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDCIAL BOARD LICENSE",
            "identifier": "0010-04003",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.