DIANNE L BONNER PA-C NPI 1336164201

NPI Information

NPI: 1336164201
Provider Name: DIANNE L BONNER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
7780 S BROADWAY
SUITE 350
LITTLETON, CO
ZIP 80122
Phone: (303) 734-8650
Get Directions

Dianne L Bonner, PA-C is a medical physician assistant in Littleton, CO. Dianne L Bonner, PA-C NPI is 1336164201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7780 S BROADWAY
SUITE 350
LITTLETON, CO
ZIP 80122-648
Phone: (303) 734-8650
Fax: (303) 734-8653

The NPI 1336164201 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 enumeration date for this NPI number is 7/13/2006 and was last updated on 8/6/2013.

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	363AS0400X	Physician Assistant	Surgical	2676	COLORADO	No
2	363AM0700X	Physician Assistant	Medical	2676	COLORADO	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
1	CO304631	MEDICARE PIN	COLORADO
2	C477738	MEDICARE PIN	COLORADO
3	06607519	MEDICAID	COLORADO

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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