Dr. Brian K. Bonham
M.D. | Pediatrics | Male
Dr. Brian K. Bonham, M.D. is a Smithsburg, Maryland based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Brian K. Bonham is
22911 Jefferson Blvd, Smithsburg, Maryland - 21783-1617. He can be contacted on phone at
301-824-3343 and fax number 301-824-6323.
Dr. Brian K. Bonham is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Brian K. Bonham is
1366407975 which was assigned by NPPES on 18 Apr, 2006 and it was last updated on 17 Oct, 2013.
Dr. Brian K. Bonham license number is
D0054451 for Pediatrics (208000000X) in Maryland.
Dr. Brian K. Bonham is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Brian K. Bonham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Brian K. Bonham |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Brian K. Bonham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 22911 Jefferson Blvd
Smithsburg, MD, 21783-1617
United States |
|---|
| Phone Number : | 301-824-3343 |
|---|
| Fax Number : | 301-824-6323 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366407975 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 18 Apr, 2006 |
|---|
| Last Updated On : | 17 Oct, 2013 |
|---|
Medicare Participation:
Dr. Brian K. Bonham participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1153461975 |
|---|
| Medicare Enrollment ID : | I20091229000385 |
|---|
| Primary Specialty : | Internal Medicine |
|---|
| Medical School : | University Of North Carolina At Chapel Hill School Of Medicine |
|---|
| Graduation Year : | 1995 |
|---|
| Accepts Medicare? | Yes. Dr. Brian K. Bonham accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Brian K. Bonham is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Brian K. Bonham is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Medical Practices Of Antietam, Llc | 2567353865 | 157 | 22911 Jefferson Blvd
Smithsburg, MD - 217831617
Ph: 3018243343 | Yes |
| Meritus Medical Center Inc | 7113811795 | 161 | 11116 Medical Campus Rd
Hagerstown, MD - 217426710
Ph: 3017908000 | Yes |
| Meritus Medical Center Inc | 7113811795 | 161 | 11110 Medical Campus Rd
Suite 243
Hagerstown, MD - 217426756
Ph: 3016654640 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brian K. Bonham are as mentioned. Primary taxonomy code for Dr. Brian K. Bonham, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | D0054451 | ME |
| 208000000X | Pediatrics | Yes | D0054451 | MD |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Brian K. Bonham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 507200000 | MEDICAID | MD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 22911 Jefferson Blvd
Smithsburg, MD, 21783-1617
United States |
|---|
| Phone Number : | 301-824-3343 |
|---|
| Fax Number : | 301-824-6323 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Brian K. Bonham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.