Active NPI
Sydney Lou Bonnick, M.D.
- Internal Medicine Physician
- Denton, TX
National Provider Identifier
1932283330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E0825
- Practice address
- 2921 Country Club Rd
Suite 101
Denton, TX 76210-8624 - Phone
- (940) 484-5010
- Fax
- (940) 484-5020
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E0825 | TX | Primary |
Addresses
Primary practice location
2921 Country Club Rd
Suite 101
Denton, TX 76210-8624
Mailing address
2921 Country Club Rd
Suite 101
Denton, TX 76210-8624
Phone (940) 484-5010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AK30 | Other | TX | BLUECROSS/BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1932283330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 COUNTRY CLUB RD",
"address_2": "SUITE 101",
"city": "DENTON",
"state": "TX",
"postal_code": "762108624",
"telephone_number": "940-484-5010",
"fax_number": "940-484-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 COUNTRY CLUB RD",
"address_2": "SUITE 101",
"city": "DENTON",
"state": "TX",
"postal_code": "762108624",
"telephone_number": "940-484-5010",
"fax_number": "940-484-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNICK",
"first_name": "SYDNEY",
"middle_name": "LOU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "E0825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "AK30",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.