Provider Type Icon

DR. EVERETT J. BONNER M.D. NPI 1417033739


NPI Information

NPI: 1417033739
Provider Name: DR. EVERETT J. BONNER, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: BATON ROUGE CLINIC, A MEDICAL CORPORATION

PECOS Registration: Yes

Address:
7373 PERKINS RD.
BATON ROUGE CLINIC - ATTN: DEE - ADMINISTRATION
BATON ROUGE, LA
ZIP 70808
Phone: (225) 769-4044
Get Directions

DR. Everett J. Bonner, M.D. is a vascular surgery surgery in Baton Rouge, LA with 22 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Everett J. Bonner, M.D. NPI is 1417033739. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2002

The provider's business location address is:

7373 PERKINS RD.
BATON ROUGE CLINIC - ATTN: DEE - ADMINISTRATION
BATON ROUGE, LA
ZIP 70808-326
Phone: (225) 769-4044

The NPI 1417033739 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Partial removal of breast (HCPCS:19301)
  • Biopsy or removal of lymph nodes of under the arm, open procedure (HCPCS:38525)
  • Lymph node imaging during surgery (HCPCS:38900)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)

The enumeration date for this NPI number is 10/29/2006 and was last updated on 1/27/2021.


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
1208600000XSurgery054561GEORGIANo
22086S0129XSurgeryVascular Surgery201869LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11076392MEDICAIDLOUISIANA

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

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.