Brian Keith Bonner (NPI# 1295718823, PAC ID# 4880674530) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1295718823 |
| PAC ID by PECOS | 4880674530 |
| Professional Enrollment ID | I20040722000978 |
| Full Name | Brian Keith Bonner |
| Organization Legal Name | BERNACKI FAMILY PRACTICE AND WELLNESS CENTER, RPLLC |
| Address |
521 Greenfield Ave Pittsburgh PA 15207-1091 |
| Phone Number | 4124226500 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8325141435 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390114 | MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 521 Greenfield Ave, Pittsburgh, PA 15207-1091 | 4124226500 | BERNACKI FAMILY PRACTICE AND WELLNESS CENTER, RPLLC |
| Organization Legal Name | BERNACKI FAMILY PRACTICE AND WELLNESS CENTER, RPLLC |
| Physicians | 1 |
| Street Address |
521 GREENFIELD AVE |
| City | PITTSBURGH |
| State | PA |
| Zip | 15207-1091 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard J Bernacki | Family Medicine | 521 Greenfield Ave, Pittsburgh, PA 15207-1091 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William P Marino | Chiropractic | Marino Chiropractic, PC | 507 Greenfield Ave, Pittsburgh, PA 15207-1051 |
| Norman L Johnson | Physical Therapy | Anchor Physical Therapy | 539 Greenfield Ave, Pittsburgh, PA 15207-1091 |
| James D Sullivan | Physical Therapy | Anchor Physical Therapy | 539 Greenfield Ave, Pittsburgh, PA 15207-1091 |
| Amanda M Cappatt | Physical Therapy | Anchor Physical Therapy | 539 Greenfield Ave, Pittsburgh, PA 15207-1091 |
| Paula L Gilchrist | Physical Therapy | Anchor Physical Therapy | 539 Greenfield Ave, Pittsburgh, PA 15207-1091 |
| William J Stewart | Chiropractic | 5003 2nd Ave, Pittsburgh, PA 15207-1624 | |
| Kyle Ritchie Bahnsen | Nurse Practitioner | Primary Care Group 3 Inc | 5426 Mifflin Rd, Pittsburgh, PA 15207-2350 |
| Joseph A Santiesteban | Internal Medicine | Primary Care Group 3 Inc | 5426 Mifflin Rd, Pittsburgh, PA 15207-2350 |
| City | PITTSBURGH |
| Zip Code | 15207 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | PITTSBURGH + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Brian Keith Bonner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.