RAPHAEL BONELLE NPI 1184079014

NPI Information

  • NPI: 1184079014
  • Provider Name: RAPHAEL BONELLE
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 12201 GARDEN CT
    OKLAHOMA CITY, OK
    ZIP 73170
  • Phone: (405) 510-4108

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NPI Details

RAPHAEL BONELLE is a point of service in Oklahoma City, OK. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. RAPHAEL BONELLE NPI is 1184079014. The provider is registered as an organization entity type.

The provider's business location address is:

12201 GARDEN CT
OKLAHOMA CITY, OK
ZIP 73170-006
Phone: (405) 510-4108

The provider's authorized official is Raphael Bonelle .
The authorized official title is Case Manager and has the following contact phone number (405) 510-4108.

The enumeration date for this NPI number is 4/28/2016 and was last updated on 4/28/2016.

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
1305S00000XPoint of ServiceYes

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: 11/21/2025

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