DR. BRIAN K. BONHAM M.D. NPI 1366407975

NPI Information

  • NPI: 1366407975
  • Provider Name: DR. BRIAN K. BONHAM, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22911 JEFFERSON BLVD
    SMITHSBURG, MD
    ZIP 21783
  • Phone: (301) 824-3343

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NPI Details

DR. Brian K. Bonham, M.D. is a pediatrics in Smithsburg, MD with 31 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Brian K. Bonham, M.D. NPI is 1366407975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

22911 JEFFERSON BLVD
SMITHSBURG, MD
ZIP 21783-617
Phone: (301) 824-3343
Fax: (301) 824-6323

The NPI 1366407975 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Follow-up observation care per day, typically 25 minutes (HCPCS:99225)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Hospital observation care on day of discharge (HCPCS:99217)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Automated urinalysis test (HCPCS:81003)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)

The enumeration date for this NPI number is 4/18/2006 and was last updated on 10/17/2013.

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
1207R00000XInternal MedicineD0054451MAINENo
2208000000XPediatricsD0054451MARYLANDYes

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
1853EMEDICARE ID-TYPE UNSPECIFIEDMARYLAND
2507200000MEDICAIDMARYLAND
3G94151MEDICARE UPINMARYLAND

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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