Thomas Bonitz, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Wilmington, DE
NPI 1891546412 · NPPES record last updated Apr 12, 2024
Key facts
- NPI
- 1891546412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 701 N Clayton St
Wilmington, DE 19805-3165 - Phone
- (302) 575-8141
- NPI assigned
- Apr 1, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240726001995 | DE | Order and Referring Only - Family Practice |
2264978196 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
701 N Clayton St
Wilmington, DE 19805-3165
Mailing address
701 N Clayton St
Wilmington, DE 19805-3165
Phone (302) 575-8141
Other providers in Wilmington, DE
- Maria Bombela
- Dakin Bond
- Richard D Bond
- Richard H. Bonder
- Alfea Marie Moreno Bongco
- Evelynn Bonner
- Hugh Bonner III
- James Francis Bonner
- Bonni Field MD PA
- Fatimah K Boone
All providers in Wilmington, DE · Student in an Organized Health Care Education/Training Program in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.