Individual provider Active NPI

Bonnie B Feola, MD, FAAP

  • Pediatrics Physician
  • Bountiful, UT
National Provider Identifier
1992818819
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
3516711205 Issued in UT
Practice address
520 Medical Dr Ste 301
Bountiful, UT 84010-8927
Phone
(801) 292-1499
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 3516711205 UT Primary

Addresses

Primary practice location

520 Medical Dr Ste 301
Bountiful, UT 84010-8927

Mailing address

520 Medical Dr Ste 301
Bountiful, UT 84010-8927
Phone (801) 292-1499

Other identifiers 1

IdentifierTypeStateIssuer
F68421OtherUPIN

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

State licenses

LicenseStateTypeSpecialty
3516711205UTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Busy Bee Pediatrics, Inc. Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1992818819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR STE 301",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108927",
            "telephone_number": "801-292-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR STE 301",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108927",
            "telephone_number": "801-292-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEOLA",
        "first_name": "BONNIE",
        "middle_name": "B",
        "credential": "MD, FAAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "3516711205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F68421",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.