Active NPIIndividual providerSole proprietor

Mr. Brent J Bonfiglio, RN

Registered Nurse, Case Management in Springfield, Massachusetts

NPI Number1124493812
Practice location
3550 Main St, Springfield, MA 01107-1089
Fax
413-746-0380
Last updated
December 7, 2015

Brent James Bonfiglio is a Registered Nurse, Case Management based in Springfield, MA. Brent James Bonfiglio practices in Springfield, MA and has the professional credentials of RN. The NPI Number for Brent James Bonfiglio is 1124493812 and holds a License No. RN2288861 (MA). The current practice location address for Brent James Bonfiglio is 3550 Main St, Springfield, MA 01107-1089 and can be reached out via phone at 413-858-7400 and via fax at 413-746-0380.

Provider Profile Details

NPI Number
1124493812
Provider Name
Brent James Bonfiglio
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
3550 Main St, Springfield, MA 01107-1089
Phone Number
413-858-7400
Fax Number
413-746-0380
Primary Taxonomy
Registered Nurse, Case Management · 163WC0400X
Sole Proprietor
Yes
Provider Enumeration Date
December 7, 2015
Last Update Date
December 7, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
3550 Main St
Springfield, MA 01107-1089
Zip
01107-1089
Phone Number
413-858-7400
Fax Number
413-746-0380
Springfield, MA 01107Get directions →

Provider Business Mailing Address Details

Address
3550 Main St
Springfield, MA 01107-1089
City
Springfield
State
MA
Zip
01107-1089
Phone Number
413-858-7400
Fax Number
413-746-0380

License Information

License Number
RN2288861
License State
MA
Taxonomy
Registered Nurse, Case Management · 163WC0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Brent J Bonfiglio, RN?

The NPI number of Mr. Brent J Bonfiglio, RN is 1124493812. It was assigned on December 7, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. Brent J Bonfiglio, RN?

Mr. Brent J Bonfiglio, RN is registered under the primary taxonomy Registered Nurse, Case Management (code 163WC0400X), licensed in MA under license number RN2288861.

Where does Mr. Brent J Bonfiglio, RN practice?

The practice location is 3550 Main St, Springfield, MA 01107-1089. The office can be reached at 413-858-7400 (phone) or 413-746-0380 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124493812 directly on the NPPES registry website.

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