MR. WILLIAM FORREST BONNER (NPI# 1154989457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154989457 |
Entity Type | Individual |
Full Name | MR. WILLIAM FORREST BONNER |
Credential | CRNP |
Practice Address |
2000 Pepperell Pkwy Opelika AL 36801-5452 |
Mailing Address |
1068 Briar Cliff Ln Auburn AL 36830-2315 |
Practice Telephone | 3345281112 |
Mailing Telephone | 3347031273 |
Enumeration Date | 2019-05-31 |
Last Update Date | 2019-10-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN288946 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-116056 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2122 Manchester Expy, Columbus, GA 319046878 | 7065964000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639392988 | William Pinckney Bonner | Family Medicine | 255 Enterprise Blvd Ste 101, Greenville, SC 29615-3530 | 2007-04-11 |
1750309597 | William C Bonner | Optometrist | 9875 Medlock Bridge Pkwy Ste 100, Johns Creek, GA 30022-6640 | 2006-07-18 |
1881022200 | William C Bonner | Nurse Practitioner | 1944 Corlies Ave, Suite 101, Neptune, NJ 07753-4862 | 2013-10-22 |
1609218130 | William Mason Bonner | Physician Assistant | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2013-07-25 |
1770830796 | William C Bonner | Pharmacist | 2320 5th St N, Columbus, MS 39705-2214 | 2012-08-08 |
1487919759 | William James Bonner | Physical Medicine & Rehabilitation | 9740 Sw 40th St, Miami, FL 33165-4080 | 2012-07-11 |
1710036926 | William F Bonner | Physical Medicine & Rehabilitation | 333 N Oxford Valley Rd, #102, Fairless Hills, PA 19030-2624 | 2007-01-09 |
1376583450 | William R Bonner | Anesthesiology | 1001 Johnson Ferry Rd, Scottish Rite Dept of Anes, Atlanta, GA 30342 | 2006-06-07 |
Street Address |
2000 PEPPERELL PKWY |
City | OPELIKA |
State | AL |
Zip Code | 36801-5452 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467452532 | John F Cabelka II | Radiology | 2000 Pepperell Pkwy, Radiation Oncology, Opelika, AL 36801-5452 | 2005-07-29 |
1437766185 | Katy Angelina Medford | Specialist/Technologist | 2000 Pepperell Pkwy, Opelika, AL 36801 | 2020-09-27 |
1093321473 | Kelsey Nicole Carter | Registered Nurse | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-09-21 |
1881209500 | Monty D Ledbetter | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-09-10 |
1568071652 | Emily Sandlin Norris | Family Medicine | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-07-24 |
1881219285 | Sarah Vest Cogle | Pharmacist | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-06-11 |
1336769892 | Alexa Pratt | Registered Nurse | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-04-24 |
1629602339 | Joseph Earl Kaczynski | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-03-03 |
1982235065 | Kimberly De Vincentis Jones | Nurse Anesthetist, Certified Registered | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-01-28 |
1912541806 | Darlene Wilson | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2019-11-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407400963 | Paul Simon | Physical Therapist | 3051 Frederick Rd Suite 4, Opelika, AL 36801 | 2019-08-01 |
1932662434 | East Alabama Apothecary LLC | Pharmacy | 2501 Village Professional Drive, Suite 2031, Opelika, AL 36801 | 2019-04-11 |
1316399108 | Jessica Audrey Haynie | Nurse Practitioner | 2609 Village Prof. Dr., Suite 3, Opelika, AL 36801 | 2016-07-06 |
1639574916 | Melissa Shah Kerber | Dentist | 2015 Interstate Drive, Opelika, AL 36801 | 2014-10-28 |
1588096200 | Carla Lynn Hudson | Nurse Practitioner | 2420 Village Professional Drive, Opelika, AL 36801 | 2013-08-05 |
1528404878 | Baowu Wang | Psychiatry & Neurology | 2506 Lambert Drive, Opelika, AL 36801 | 2013-05-14 |
1144566266 | Caremed Inc. | Durable Medical Equipment & Medical Supplies | 702 N Railroad Ave., Opelika, AL 36801 | 2012-12-18 |
1659635472 | Meshia Kerry-ann Wallace | Internal Medicine | 2412 Village Professional Dr S, Opelika, AL 36801 | 2012-06-26 |
1558651570 | Amanda Mamie Reimer | Psychiatry & Neurology | 2570 Village Professional Park, Opelika, AL 36801 | 2011-04-11 |
1356640569 | Mary Neal Gipson | Marriage & Family Therapist | 218 S. 8th St., Opeika, AL 36801 | 2011-03-28 |
Find all providers in zip 36801 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013563139 | Brian Clay Young | Nurse Practitioner | 638 Lee Road 483, Opelika, AL 36804-1773 | 2019-08-14 |
1316399108 | Jessica Audrey Haynie | Nurse Practitioner | 2609 Village Prof. Dr., Suite 3, Opelika, AL 36801 | 2016-07-06 |
1255679742 | Jodi Lynn Yannucci | Nurse Practitioner | 502 E Thomason Cir, Opelika, AL 36801-5432 | 2013-01-18 |
1386950640 | Christina Anderson | Nurse Practitioner | 1409 Sawyer Dr, Opelika, AL 36801-3280 | 2010-08-25 |
1093035115 | Kristin Ann Mealer | Nurse Practitioner | 300 Lee Road 29, Opelika, AL 36804-9100 | 2010-06-11 |
1881209500 | Monty D Ledbetter | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-09-10 |
1164036539 | Amy Schwadron | Nurse Practitioner | 101 24th St, Opelika, AL 36801-6253 | 2020-09-03 |
1598380016 | Nicholas B. Tulshi | Nurse Practitioner | 122 N 20th St Bldg 24, Opelika, AL 36801-5442 | 2020-06-10 |
1679117006 | Christy Michelle Ballard | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2019-10-29 |
1548810294 | Jaimie Roberson Wadkins | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2019-09-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.