ALEXANDER C BONNER DPM NPI 1619959335

NPI Information

NPI: 1619959335
Provider Name: ALEXANDER C BONNER, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1150 CAMPO SANO AVE
SUITE 410
CORAL GABLES, FL
ZIP 33146
Phone: (305) 669-3339
Get Directions

Alexander C Bonner, DPM is a foot and ankle surgery podiatrist in Coral Gables, FL. Alexander C Bonner, DPM NPI is 1619959335. 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:

1150 CAMPO SANO AVE
SUITE 410
CORAL GABLES, FL
ZIP 33146-174
Phone: (305) 669-3339
Fax: (305) 233-5220

The NPI 1619959335 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 11/17/2005 and was last updated on 5/13/2008.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO626	FLORIDA	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	650028975	OTHER	FLORIDA	CIGNA
2	T95147	MEDICARE UPIN	FLORIDA
3	87359	MEDICARE PIN	FLORIDA
4	029603100	MEDICAID	FLORIDA
5	029603100	OTHER	FLORIDA	SFCN
6	650028975	OTHER	FLORIDA	AETNA
7	650028975	OTHER	FLORIDA	HEALTHOPTIONS
8	16002	OTHER	FLORIDA	SFCN/PSN
9	87359	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
10	406480210	OTHER	FLORIDA	RAILROAD MEDICARE
11	650028975	OTHER	FLORIDA	UNITED HEALTHCARE
12	650025975	OTHER	FLORIDA	TAX ID
13	212695	OTHER	FLORIDA	AVMED
14	5131200001	MEDICARE NSC	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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