Active NPIIndividual provider

Bonnie Engelbart, MD

Family Medicine in Revere, Massachusetts

NPI Number1558464578
Practice location
454 Broadway, Revere, MA 01901
Fax
781-485-8220
Last updated
February 29, 2012

Bonnie Engelbart is a Family Medicine based in Revere, MA. Bonnie Engelbart practices in Revere, MA and has the professional credentials of MD. The NPI Number for Bonnie Engelbart is 1558464578 and holds a License No. 215224 (MA). The current practice location address for Bonnie Engelbart is 454 Broadway, Revere, MA 01901 and can be reached out via phone at 781-485-8222 and via fax at 781-485-8220.

Provider Profile Details

NPI Number
1558464578
Provider Name
Bonnie Engelbart
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
454 Broadway, Revere, MA 01901
Phone Number
781-485-8222
Fax Number
781-485-8220
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
September 6, 2006
Last Update Date
February 29, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
454 Broadway
Revere, MA 01901
City
Revere
Zip
01901
Phone Number
781-485-8222
Fax Number
781-485-8220
Revere, MA 01901Get directions →

Provider Business Mailing Address Details

Address
454 Broadway
Revere, MA 01901
City
Revere
State
MA
Zip
01901
Phone Number
781-485-8222
Fax Number
781-485-8220

License Information

License Number
215224
License State
MA
Taxonomy
Family Medicine · 207Q00000X · 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 Bonnie Engelbart, MD?

The NPI number of Bonnie Engelbart, MD is 1558464578. It was assigned on September 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Bonnie Engelbart, MD?

Bonnie Engelbart, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 215224.

Where does Bonnie Engelbart, MD practice?

The practice location is 454 Broadway, Revere, MA 01901. The office can be reached at 781-485-8222 (phone) or 781-485-8220 (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 1558464578 directly on the NPPES registry website.

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