Active NPIIndividual provider

Dr. Bonnie De Vries, MD

Family Medicine in Berlin, New Hampshire

NPI Number1922242163
Practice location
133 Pleasant St, Berlin, NH 03570-2006
Fax
603-752-7797
Last updated
September 9, 2021

Bonnie De Vries is a Family Medicine based in Berlin, NH. Bonnie De Vries practices in Berlin, NH and has the professional credentials of MD. The NPI Number for Bonnie De Vries is 1922242163 and holds a License No. MD19394 (ME). The current practice location address for Bonnie De Vries is 133 Pleasant St, Berlin, NH 03570-2006 and can be reached out via phone at 603-752-2040 and via fax at 603-752-7797.

Provider Profile Details

NPI Number
1922242163
Provider Name
Bonnie De Vries
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
133 Pleasant St, Berlin, NH 03570-2006
Phone Number
603-752-2040
Fax Number
603-752-7797
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
April 30, 2009
Last Update Date
September 9, 2021
Certification Date
September 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
133 Pleasant St
Berlin, NH 03570-2006
City
Berlin
Zip
03570-2006
Phone Number
603-752-2040
Fax Number
603-752-7797
Berlin, NH 03570Get directions →

Provider Business Mailing Address Details

Address
133 Pleasant St
Berlin, NH 03570-2006
City
Berlin
State
NH
Zip
03570-2006
Phone Number
603-752-2040
Fax Number
603-752-1709

License Information

License Number (1)
MD19394
License State (1)
ME
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
60830957
License State (2)
WA
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
21756
License State (3)
NH
Taxonomy (3)
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 Dr. Bonnie De Vries, MD?

The NPI number of Dr. Bonnie De Vries, MD is 1922242163. It was assigned on April 30, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Bonnie De Vries, MD?

Dr. Bonnie De Vries, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ME under license number MD19394.

Where does Dr. Bonnie De Vries, MD practice?

The practice location is 133 Pleasant St, Berlin, NH 03570-2006. The office can be reached at 603-752-2040 (phone) or 603-752-7797 (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 1922242163 directly on the NPPES registry website.

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