DR. MARK DOUGLAS BONNELL M.D. NPI 1801872338

NPI Information

NPI: 1801872338
Provider Name: DR. MARK DOUGLAS BONNELL, M.D.
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
SANTA CLARA HEALTH CENTER
RR 5 BOX 446
ESPANOLA, NM
ZIP 87532
Phone: (505) 753-5039
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DR. Mark Douglas Bonnell, M.D. is a geriatric medicine family medicine in Espanola, NM. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Mark Douglas Bonnell, M.D. NPI is 1801872338. 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:

SANTA CLARA HEALTH CENTER
RR 5 BOX 446
ESPANOLA, NM
ZIP 87532-908
Phone: (505) 753-5039

The enumeration date for this NPI number is 12/16/2005 and was last updated on 11/19/2007.

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	207R00000X	Internal Medicine		85-163	NEW MEXICO	No
2	207QG0300X	Family Medicine	Geriatric Medicine	85-163	NEW MEXICO	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	A02516	MEDICARE UPIN	NEW MEXICO

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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