FREDRIC L. BONINE, DDS, MS, PC (NPI# 1184980914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184980914 |
| Entity Type | Organization |
| Organization Name | FREDRIC L. BONINE, DDS, MS, PC |
| Other Organization Name | FREDRIC L. BONINE, DDS, MS, PC |
| Practice Address |
6893 Grand River Rd Brighton MI 48114-9345 |
| Practice Telephone | 8102299180 |
| Practice Fax Number | 8102291880 |
| Mailing Telephone | 8102299180 |
| Mailing Fax Number | 8102291880 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-05-22 |
| Authorized Official Name | DR. FREDRIC L. BONINE (SOLE PROPRIETOR) |
| Authorized Official Telephone | 8102299180 |
| Authorized Official Credential | DDS, MS, PC |
| Is Organization Subpart | Y |
| Parent Organization Name | DR. FREDRIC L. BONINE, DDS, MS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 2901012106 | MI | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | INDIVIDUAL NPI | 1063440543 | 01 |
| Other Name | Type Code |
|---|---|
| Fredric L. Bonine, DDS, MS, PC | Doing Business As Name - Organization |
| Street Address |
6893 GRAND RIVER RD |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114-9345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063440543 | Fredric L Bonine | Dentist | 6893 Grand River Rd, Brighton, MI 48114-9345 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1457741373 | John B. Rasor D.o, P.C. | Preferred Provider Organization | 7960 W. Grand River, Suite 160, Brighton, MI 48843 | 2015-01-30 |
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| 1760830368 | Michigan Health Preference LLC | Preferred Provider Organization | 16000 W 9 Mile Rd Ste 303, Southfield, MI 48075 | 2016-05-25 |
| 1659727303 | Raymond L. Augenstein | Preferred Provider Organization | 11682 E Gates Rd, Riverdale, MI 48877-9566 | 2016-05-12 |
| 1154777183 | Desiree Santiago | Preferred Provider Organization | 517 Graten St, Birmingham, MI 48009-6519 | 2016-05-09 |
| Find all providers with the same taxonomy | ||||
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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.