Active NPIIndividual provider

Robert Bonanno, MD

Specialist in Brighton, Massachusetts

NPI Number1629011531
Practice location
697 Cambridge St, Brighton, MA 02135-2897
Fax
—
Last updated
July 13, 2026

Robert Bonanno is a Specialist based in Brighton, MA. Robert Bonanno practices in Brighton, MA and has the professional credentials of MD. The NPI Number for Robert Bonanno is 1629011531 and holds a License No. 38352 (MA). The current practice location address for Robert Bonanno is 697 Cambridge St, Brighton, MA 02135-2897 and can be reached out via phone at 617-782-5700.

Provider Profile Details

NPI Number
1629011531
Provider Name
Robert Bonanno
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
697 Cambridge St, Brighton, MA 02135-2897
Phone Number
617-782-5700
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
697 Cambridge St
Brighton, MA 02135-2897
Zip
02135-2897
Phone Number
617-782-5700
Brighton, MA 02135Get directions →

Provider Business Mailing Address Details

Address
77 Warren St
Brighton, MA 02135-3601
City
Brighton
State
MA
Zip
02135-3601
Phone Number
617-562-5485
Fax Number
617-562-5415

License Information

License Number
38352
License State
MA
Taxonomy
Specialist · 174400000X · 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 Robert Bonanno, MD?

The NPI number of Robert Bonanno, MD is 1629011531. It was assigned on June 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Robert Bonanno, MD?

Robert Bonanno, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in MA under license number 38352.

Where does Robert Bonanno, MD practice?

The practice location is 697 Cambridge St, Brighton, MA 02135-2897. The office can be reached at 617-782-5700 (phone).

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 1629011531 directly on the NPPES registry website.

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