Bonny Willard, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

10180219 Issued in AL

Practice address

825 2ND Ave Ste C2
Bowling Green, KY 42101-1791

Phone

(270) 780-2750

Fax

(270) 780-2755

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bonny Brymer Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Health Corporation, Inc.Group PAC ID 5496667628, 268 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Commonwealth Health Corporation, Inc

  • Neurology Physician
  • Bowling Green, KY
  • NPI 1881109304
  Medicare reassignment Care Compare group NPD
• Commonwealth Health Corporation, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Bowling Green, KY
  • NPI 1104470699
  NPD
• Commonwealth Health Corporation, Inc.

  • Orthopaedic Surgery Physician
  • Bowling Green, KY
  • NPI 1457759540

  Gerontology

  NPD
• Commonwealth Health Corporation

  • Family Medicine Physician
  • Scottsville, KY
  • NPI 1508899089
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1891341392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2697",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421027697",
            "telephone_number": "270-780-2750",
            "fax_number": "270-780-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 2ND AVE STE C2",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011791",
            "telephone_number": "270-780-2750",
            "fax_number": "270-780-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "BONNY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "10180219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNY",
            "last_name": "BRYMER",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Makayla Wilhelm, BCBA
• Cole Thomas Wilken
• Samuel Wade Wilkey, D.C.
• Edmund L Wilkins, M.D.
• Lisa Wilkins, LCSW
• Jessica Marie Willetts
• Sean Timothy Willgruber, M.D.
• William a. Schwank, M.D.
• William J. Hanshaw, LMFT
• Alexander Williams

• Gerontology Nurse Practitioner in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Gerontology Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.