DR. BRUCE BONNELL (NPI# 1861492944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861492944 |
| Entity Type | Individual |
| Full Name | DR. BRUCE BONNELL |
| Credential | MD |
| Practice Address |
8580 Verree Rd Philadelphia PA 19111-1370 |
| Mailing Address |
1648 Huntingdon Pike Medical Staff Office 1st Flr Meadowbrook PA 19046-8001 |
| Practice Telephone | 2152143815 |
| Mailing Telephone | 2159383450 |
| Mailing Fax Number | 2159383829 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD469659 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771998 | Bruce W Bonnell | Surgery | 100 Michigan St Ne, Mc 031, Grand Rapids, MI 49503-2560 | 2005-06-22 |
| Street Address |
8580 VERREE RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790247153 | Joseph Litz | Occupational Therapy Assistant | 8580 Verree Rd, Philadelphia, PA 19111-1370 | 2019-04-04 |
| 1609383462 | Max Fenster | Occupational Therapy Assistant | 8580 Verree Rd, Philadelphia, PA 19111-1370 | 2018-01-02 |
| 1588196497 | Flor Fuentes Murillo | Occupational Therapist | 8580 Verree Rd, Philadelphia, PA 19111-1370 | 2017-03-30 |
| 1396285540 | Alex Civil | Occupational Therapist | 8580 Verree Rd, Philadelphia, PA 19111-1370 | 2017-03-06 |
| 1487191771 | Jenna Leigh Brant | Speech-Language Pathologist | 8580 Verree Rd, Philadelphia, PA 19111-1370 | 2017-01-24 |
| 1245781327 | Christine Bridget Gannon | Occupational Therapy Assistant | 8580 Verree Rd, Philadelphia, PA 19111-1370 | 2016-10-24 |
| 1174073563 | Hr Physician Services | Internal Medicine | 8580 Verree Rd, Philadelphia, PA 19111-1370 | 2016-10-10 |
| 1710435946 | Faith Merin Belwin | Nurse Practitioner | 8580 Verree Rd, Philadelphia, PA 19111-1370 | 2016-09-16 |
| 1902276710 | Hr Physician Services | Internal Medicine | 8580 Verree Rd, Philadelphia, PA 19111-1370 | 2015-10-06 |
| 1255749867 | Alexandra Hale | Speech-Language Pathologist | 8580 Verree Rd, Philadelphia, PA 19111-1370 | 2014-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730239039 | Chintana Suanlarm | Internal Medicine | 5129 Germantown Ave, Philadelphia, PA 19144-2326 | 2007-01-11 |
| 1548338874 | Alan P Berg | Internal Medicine | 1940 W Allegheny Ave, Philadelphia, PA 19132-1614 | 2006-12-04 |
| 1689748600 | Richard Gebriel Stefanacci | Internal Medicine | 600 S 43rd St, Philadelphia, PA 19104-4418 | 2006-11-20 |
| 1962513531 | Maria Fogata, M.d., PC | Internal Medicine | 7800 Bustelton Ave, Philadelphia, PA 19152 | 2006-08-31 |
| 1093724890 | Joel Sam Betesh | Internal Medicine | 2240 S 3rd St Fl 2, Philadelphia, PA 19148-3347 | 2006-08-08 |
| 1346257490 | Luz S Ramos-bonner | Internal Medicine | 6970 Germantown Ave, Philadelphia, PA 19119-2114 | 2006-08-02 |
| 1275584807 | Ellen N Zagrebelsky | Internal Medicine | 9892 Bustleton Ave, Suite 102, Philadelphia, PA 19115-2184 | 2006-05-16 |
| 1962465674 | Heidi J Syropoulos | Internal Medicine | 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 | 2006-04-11 |
| 1548243751 | Lisa Maria Walke | Internal Medicine | 3615 Chestnut St, Philadelphia, PA 19104 | 2005-11-22 |
| 1457340317 | Emmanuel C Okolo | Internal Medicine | 6950 Germantown Ave, Philadelphia, PA 19119-2120 | 2005-10-13 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
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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.