DR. CLARK ANDREW BONHAM MD NPI 1528083284

NPI Information

  • NPI: 1528083284
  • Provider Name: DR. CLARK ANDREW BONHAM, MD
  • Classification: Transplant Surgery - 204F00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2401 GILLHAM RD
    KANSAS CITY, MO
    ZIP 64108
  • Phone: (816) 701-5200

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NPI Details

DR. Clark Andrew Bonham, MD is a transplant surgery in Kansas City, MO with 37 years of experience. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee DR. Clark Andrew Bonham, MD NPI is 1528083284. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1989

The provider's business location address is:

2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108-619
Phone: (816) 701-5200
Fax: (816) 302-9939

The NPI 1528083284 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.

  • Hospital observation or inpatient care admitted and discharged on the same day for low severity problem, typically 40 minutes (HCPCS:99234)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Transplantation of donor liver (HCPCS:47135)

The enumeration date for this NPI number is 7/13/2006 and was last updated on 11/25/2025.

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
1204F00000XTransplant Surgery2025013416MISSOURIYes
2204F00000XTransplant Surgery04-51288KANSASNo

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
100C507500MEDICAIDCALIFORNIA

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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