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DR. JEFFREY BONNEVILLE DMSC MS LPO NPI 1366973463


NPI Information

NPI: 1366973463
Provider Name: DR. JEFFREY BONNEVILLE, DMSC MS LPO
Classification: Orthotist - 222Z00000X
Entity Type: Individual
Address:
150 S HUNTINGTON AVE
BOSTON, MA
ZIP 02130
Phone: (857) 364-6962
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DR. Jeffrey Bonneville, DMSC MS LPO is an orthotist in Boston, MA. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. DR. Jeffrey Bonneville, DMSC MS LPO NPI is 1366973463. 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:

150 S HUNTINGTON AVE
BOSTON, MA
ZIP 02130-817
Phone: (857) 364-6962

The enumeration date for this NPI number is 3/21/2017 and was last updated on 3/21/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224P00000XProsthetistPO000194PENNSYLVANIANo
2224P00000XProsthetist211.000165ILLINOISNo
3222Z00000XOrthotistOH000281PENNSYLVANIAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.