KEVIN FRANCIS BONNER (NPI# 1376572883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376572883 |
| Entity Type | Individual |
| Full Name | KEVIN FRANCIS BONNER |
| Credential | M.D. |
| Practice Address |
5716 Cleveland St Suite 200 Virginia Beach VA 23462-1784 |
| Practice Telephone | 7575028570 |
| Practice Fax Number | 7579619767 |
| Mailing Telephone | 7575028570 |
| Mailing Fax Number | 7579619767 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 0101058724 | VA | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
0101058724 | VA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
0101058724 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437186087 | Kevin J Bonner | Emergency Medicine | 2000 Church St, Nashville, TN 37236-0001 | 2006-06-27 |
| Street Address |
5716 CLEVELAND ST SUITE 200 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-1784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952348252 | Caroline Rogers Triepel | Orthopaedic Surgery | 5716 Cleveland St, Suite 210, Virginia Beach, VA 23462-1784 | 2006-06-02 |
| 1134772734 | Sydney Campbell | Specialist/Technologist | 5716 Cleveland St, Virginia Beach, VA 23462-1784 | 2019-07-23 |
| 1124416417 | Jordan Young Institute | Specialist/Technologist, Other | 5716 Cleveland St, Virginia Beach, VA 23462-1784 | 2015-01-08 |
| 1710384078 | Allison Hetrick | Specialist/Technologist | 5716 Cleveland St, Virginia Beach, VA 23462-1784 | 2014-12-01 |
| 1427366533 | Alyssa R Fisher | Specialist/Technologist | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2010-09-23 |
| 1033380936 | Samuel Pomeroy Robinson | Orthopaedic Surgery | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2008-03-18 |
| 1427109602 | Jana Liedman | Physical Therapy Assistant | 5716 Cleveland St, Suite 120, Virginia Beach, VA 23462-1784 | 2007-01-15 |
| 1104855667 | James E Dowd | Orthopaedic Surgery | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2006-06-30 |
| 1316976632 | Louis C Jordan | Orthopaedic Surgery | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2006-06-30 |
| 1770512006 | Jack L Siegel | Orthopaedic Surgery | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144544610 | Justin W Griffin | Orthopaedic Surgery | 5716 Cleveland St Ste 200, Virginia Beach, VA 23462-1784 | 2010-03-26 |
| 1033380936 | Samuel Pomeroy Robinson | Orthopaedic Surgery | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 2008-03-18 |
| 1992864763 | Orthovirginia, Inc | Orthopaedic Surgery | 1849 Old Donation Pkwy, Virginia Beach, VA 23454-3004 | 2006-12-07 |
| 1891717807 | Robert B Campbell | Orthopaedic Surgery | 1849 Old Donation Pkwy, Virginia Beach, VA 23454-3004 | 2006-07-25 |
| 1770505703 | Peter C Jacobson | Orthopaedic Surgery | 1849 Old Donation Pkwy, Virginia Beach, VA 23454-3004 | 2006-07-25 |
| 1154340180 | Patrick W O'connell | Orthopaedic Surgery | 1849 Old Donation Pkwy, Virginia Beach, VA 23454-3004 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751148 | Sideline Orthopedics and Sports Medicine, LLC | Orthopaedic Surgery | 125 Akers Farm Rd Ste C&d, Christiansburg, VA 24073-4866 | 2019-07-08 |
| 1881171718 | Franklin Clinic Corp | Orthopaedic Surgery | 210 Fairview Dr Ste A, Franklin, VA 23851-1216 | 2018-07-24 |
| 1932638921 | Sideline Orthopedics and Sports Medicine, LLC | Orthopaedic Surgery | 1787 W. Lee Hwy, Forest Medical Park, Unit B, Bldg 2, Wytheville, VA 24382-1437 | 2017-06-05 |
| 1477956878 | Virginia Commonwealth University | Orthopaedic Surgery | 821 W Franklin St, Richmond, VA 23284-9012 | 2014-09-30 |
| 1871920132 | Mark T Wolfe | Orthopaedic Surgery | 3906 Breezeport Way, Apt 105, Suffolk, VA 23435-1080 | 2013-10-02 |
| 1750724167 | Ryan Austin Harrell | Orthopaedic Surgery | 5818 Harbour View Blvd Ste 150d, Suffolk, VA 23435-3327 | 2013-04-16 |
| 1306088687 | Nathan William Coleman | Orthopaedic Surgery | 13350 Franklin Farm Rd Ste 220, Herndon, VA 20171-4095 | 2009-04-01 |
| 1497923288 | Ryan Glenn Miyamoto | Orthopaedic Surgery | 3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758 | 2008-02-14 |
| 1467662791 | Stephen F. Brockmeier | Orthopaedic Surgery | 515 Ray C Hunt Dr Ste 1100, Charlottesville, VA 22903-2981 | 2007-05-23 |
| 1386706620 | David R. Diduch | Orthopaedic Surgery | 515 Ray C. Hunt Dr, Charlottesville, VA 22903-2981 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
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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.