Dr. Bevan P Bonhomme, MD
Emergency Medicine in Willimantic, Connecticut
1598386468- Practice location
- 112 Mansfield Ave, Willimantic, CT 06226-2045
- Phone
- 860-609-9929
- Fax
- 919-966-3049
- Last updated
- November 17, 2023
Bevan P Bonhomme is an Emergency Medicine based in Willimantic, CT. Bevan P Bonhomme practices in Willimantic, CT and has the professional credentials of MD. The NPI Number for Bevan P Bonhomme is 1598386468 and holds a License No. 260786 (NC). The current practice location address for Bevan P Bonhomme is 112 Mansfield Ave, Willimantic, CT 06226-2045 and can be reached out via phone at 860-609-9929 and via fax at 919-966-3049.
Provider Profile Details
- NPI Number
- 1598386468
- Provider Name
- Bevan P Bonhomme
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 112 Mansfield Ave, Willimantic, CT 06226-2045
- Phone Number
- 860-609-9929
- Fax Number
- 919-966-3049
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 2, 2020
- Last Update Date
- November 17, 2023
- Certification Date
- November 17, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 112 Mansfield Ave
Willimantic, CT 06226-2045 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-2045
- Phone Number
- 860-609-9929
- Fax Number
- 919-966-3049
Provider Business Mailing Address Details
- Address
- 112 Mansfield Ave
Willimantic, CT 06226-2045 - City
- Willimantic
- State
- CT
- Zip
- 06226-2045
- Phone Number
- 860-609-9929
License Information
- License Number (1)
- 260786
- License State (1)
- NC
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 76463
- License State (2)
- CT
- Taxonomy (2)
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Bevan P Bonhomme, MD?
The NPI number of Dr. Bevan P Bonhomme, MD is 1598386468. It was assigned on May 2, 2020 and is currently active in the NPPES registry.
What is the specialty of Dr. Bevan P Bonhomme, MD?
Dr. Bevan P Bonhomme, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NC under license number 260786.
Where does Dr. Bevan P Bonhomme, MD practice?
The practice location is 112 Mansfield Ave, Willimantic, CT 06226-2045. The office can be reached at 860-609-9929 (phone) or 919-966-3049 (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 1598386468 directly on the NPPES registry website.