Gregory F Bonner, M.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME57540 Issued in FL

Practice address

2021 E Commercial Blvd
Suite 202
Fort Lauderdale, FL 33308-3763

Phone

(954) 202-7850

Fax

(954) 202-7781

NPI assigned

Aug 31, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregorybonner@gastroi.allscriptsdirect.net

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

• Coral Ridge Gastroenterology Associates LLC

  • Gastroenterology Physician
  • Fort Lauderdale, FL
  • NPI 1265628424
  Medicare reassignment NPD
• Cleveland Clinic Florida a Nonprofit Corporation

  • Clinic/Center
  • Weston, FL
  • NPI 1215989298
  NPD (past)
• Gastroenterology Assoc PA

  • Specialist
  • Oakland Park, FL
  • NPI 1134325921
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932211224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E COMMERCIAL BLVD",
            "address_2": "SUITE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083763",
            "telephone_number": "954-202-7850",
            "fax_number": "954-202-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E COMMERCIAL BLVD",
            "address_2": "SUITE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083763",
            "telephone_number": "954-202-7850",
            "fax_number": "954-202-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "GREGORY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME57540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063774200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Bolton, D,O
• Kanthi Bommareddy, MD
• Ira Bond Jr., PT,DPT
• Leah Michelle Bonds, BCBA
• Norma Lorena Bonilla, APRN
• Veronica Bono, PTA, LMT
• Yolanta D Booker, ARNP
• Artem E. Bor, CRNA
• Trisha Elena Bordas, LCSW
• Melissa Borden, D.C.

• Specialist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.