Joseph W Bonura DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

JOSEPH W BONURA DPM PA

Practice address

226A Saint Joe Plaza Dr
Suite 127
Palm Coast, FL 32164-3615

Phone

(904) 318-2088

Fax

(904) 940-8669

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joseph William Bonura, DPMNPI 1598759763

Title

President

Phone

(904) 318-2088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph William Bonura, DPM

  • Podiatrist
  • St Johns, FL
  • NPI 1598759763
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1891955951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226A SAINT JOE PLAZA DR",
            "address_2": "SUITE 127",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321643615",
            "telephone_number": "904-318-2088",
            "fax_number": "904-940-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226A SAINT JOE PLAZA DR",
            "address_2": "SUITE 127",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321643615",
            "telephone_number": "904-318-2088",
            "fax_number": "904-940-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH W BONURA DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BONURA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-318-2088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie D Jones
• Bridget Jones, OTD OTR/L
• Jennifer Ann Jones
• Tracie L. Jones, ARNP
• Bom Joo
• Gessica Joseph
• Michelle V Joseph
• Jenna Joslyn, PA-C
• Hajara Joundi, M.D.
• Jra Adult Family Care Home

• Podiatrist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.