Gary G Bonner (NPI# 1689754236, PAC ID# 5193797470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689754236 |
| PAC ID by PECOS | 5193797470 |
| Professional Enrollment ID | I20150112000554 |
| Full Name | Gary G Bonner |
| Organization Legal Name | RAVINDER K RUSTAGI MD PA |
| Address |
6132 Landover Rd Cheverly MD 20785-1022 |
| Phone Number | 3013862666 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3476688805 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210003 | PRINCE GEORGES HOSPITAL CENTER |
| 210051 | DOCTORS' COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6132 Landover Rd, Cheverly, MD 20785-1022 | 3013862666 | RAVINDER K RUSTAGI MD PA |
| Organization Legal Name | RAVINDER K RUSTAGI MD PA |
| Physicians | 1 |
| Street Address |
6132 LANDOVER RD |
| City | CHEVERLY |
| State | MD |
| Zip | 20785-1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherene James Bond | Podiatry | 6124 Landover Rd, Cheverly, MD 20785-1016 | |
| Margaret E Akpan | Internal Medicine | 6128 Landover Rd, Cheverly, MD 20785-1016 | |
| Revathy Murthy | Pulmonary Disease | Revathy Murthy, Md Pa | 6130 Landover Rd, Cheverly, MD 20785-1022 |
| Pauline Muoneke | Nurse Practitioner | Revathy Murthy, Md Pa | 6130 Landover Rd, Cheverly, MD 20785-1022 |
| Gladys W Heatley | Internal Medicine | 6001 Landover Rd, Suite 2, Cheverly, MD 20785-1143 | |
| Abdul G Chaudry | Obstetrics/gynecology | 6005 Landover Rd, Suite 5, Cheverly, MD 20785-1145 | |
| Elwood S Holland | Family Medicine | 6005 Landover Rd, Suite 3, Cheverly, MD 20785-1145 | |
| Samuel Alleyne | Family Medicine | 6005 Landover Rd, Suite 3, Cheverly, MD 20785-1145 | |
| Stacy O Ross | Family Medicine | Dimensions Healthcare Associates Inc. | 2900 Mercy Ln, Cheverly, MD 20785-1157 |
| Kisha P Brown | Physical Medicine and Rehabilitation | Dimensions Healthcare Associates Inc. | 2900 Mercy Ln, Cheverly, MD 20785-1157 |
| Find all physicians in zip 20785 | |||
| City | CHEVERLY |
| Zip Code | 20785 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHEVERLY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gary G 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.