BRIAN BONENFANT (NPI# 1245248228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245248228 |
| Entity Type | Individual |
| Full Name | BRIAN BONENFANT |
| Credential | PA |
| Practice Address |
88 Washington Street Attn Emergency Dept Taunton MA 02780 |
| Mailing Address |
460 Totten Pond Rd C/o Mzi Waltham MA 02451-1906 |
| Practice Telephone | 5088287108 |
| Practice Fax Number | 5088287158 |
| Mailing Telephone | 7818909933 |
| Mailing Fax Number | 7818909950 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1269 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 208 Mill Rd, Fairhaven, MA 027195208 | 5089732432 | 5089732435 |
| Street Address |
88 WASHINGTON STREET ATTN EMERGENCY DEPT |
| City | TAUNTON |
| State | MA |
| Zip Code | 02780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164753729 | Kerri L Cushing | Nurse Practitioner | 88 Washington Street, Taunton, MA 02780 | 2010-01-21 |
| 1437486131 | Kristen Marie Cestodio | Nurse Practitioner | 88 Washington Street, Taunton, MA 02780-1085 | 2009-11-17 |
| 1104065697 | Allison Lisa Andrade | Counselor | 88 Washington Street, Taunton, MA 02780 | 2009-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235766338 | Peter A. Bertelli | Registered Nurse | Attn: Peter A. Bertelli, Rn, 70 Main Street, Taunton, MA 02780 | 2020-03-26 |
| 1790321388 | Daniel Bettencourt | Counselor | 1 Washington St. Taunton, Ma 02780, Taunton, MA 02780 | 2019-11-19 |
| 1629620067 | Lauren Mulkern | Behavior Technician | 36 Saints Way, Taunton, MA 02780 | 2019-07-16 |
| 1154891737 | Sara Keller | Physical Therapist | 68 Dean Street, Taunton, MA 02780 | 2018-11-27 |
| 1366931594 | Alicia Marie Donahue | Optometrist | 2005 Bay Street Suite 206, Taunton, MA 02780 | 2018-05-03 |
| 1922522879 | Kathryn Louise Drapeau | Registered Nurse | 17 Patriot Road, Taunton, MA 02780 | 2017-08-02 |
| 1174057913 | Marie Lorquet | Registered Nurse | 111 Bay St, Taunton, MA 02780 | 2017-04-19 |
| 1912351693 | Samantha Hollis | Social Worker | 126 Dighton Avenue, Taunton, MA 02780 | 2016-04-19 |
| 1689030843 | Alexandra Rhae Lynn | Counselor | 1 Washington St., Taunton, MA 02780 | 2016-01-04 |
| 1386058261 | Carmen Iris Rivera | Registered Nurse | 111 Worcester St, Taunton, MA 02780 | 2014-06-18 |
| Find all providers in zip 02780 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629545801 | Julianna Elizabeth Slarve | Physician Assistant | 72 Washington St Ste 2600, Taunton, MA 02780-7410 | 2018-10-25 |
| 1063953164 | Michael Levasseur | Physician Assistant | 88 Washington St, Taunton, MA 02780-2465 | 2017-03-09 |
| 1689069932 | Max Birkhold | Physician Assistant | 88 Washington St, Taunton, MA 02780-2465 | 2015-04-03 |
| 1245658848 | Jennifer Mills | Physician Assistant | 88 Washington St, Taunton, MA 02780-2465 | 2014-04-01 |
| 1497096846 | James Lyons | Physician Assistant | 152 Dean St, Taunton, MA 02780-2766 | 2013-03-11 |
| 1194077321 | Annmarie Katelyn Lynch | Physician Assistant | 146 Dean St, Taunton, MA 02780-2716 | 2012-10-11 |
| 1134403439 | Rebecca Lee Amaral | Physician Assistant | 152 Dean St, Taunton, MA 02780-2766 | 2011-10-05 |
| 1538390547 | Beth Marie Mastria | Physician Assistant | 72 Washington St, Suite 2400, Taunton, MA 02780-2491 | 2009-08-07 |
| 1093917296 | Lisa Rampone | Physician Assistant | 88 Washington St, Taunton, MA 02780-2465 | 2007-06-01 |
| 1164552238 | Christine David | Physician Assistant | 88 Washington St, Morton Hospital & Medical Center, Taunton, MA 02780-2465 | 2007-03-06 |
| Find all providers in TAUNTON | ||||
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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.