DAVID KEITH BONAUTO MD NPI 1063541100

NPI Information

NPI: 1063541100
Provider Name: DAVID KEITH BONAUTO, MD
Classification: Preventive Medicine - 2083P0500X
Entity Type: Individual

Specialization: Preventive Medicine/Occupational Environmental Medicine

Address:
325 9TH AVE
SEATTLE, WA
ZIP 98104
Phone: (206) 744-3005
Get Directions

David Keith Bonauto, MD is a preventive medicine/occupational environmental medicine preventive medicine in Seattle, WA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. David Keith Bonauto, MD NPI is 1063541100. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

325 9TH AVE
SEATTLE, WA
ZIP 98104-499
Phone: (206) 744-3005

The enumeration date for this NPI number is 3/5/2007 and was last updated on 1/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		MD00033532	WASHINGTON	No
2	2083P0500X	Preventive Medicine	Preventive Medicine/Occupational Environmental Medicine	MD00033532	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1063541100	MEDICAID	WASHINGTON
2	8894104	MEDICARE PIN	WASHINGTON
3	G35668	MEDICARE UPIN	WASHINGTON
4	0230839	OTHER	WASHINGTON	L&I
5	250012390	OTHER	WASHINGTON	RAIL ROAD MEDICARE
6	AB21045	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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