Individual provider · Type 1 NPI
John Paul Bonvillian, DPM
Foot & Ankle Surgery Podiatrist · Winston Salem, NC
NPI number
1336677046
Active
Practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Fax (336) 716-3202
Other practice locations
- Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 · (317) 392-5855
- 1 Medical Center Blvd Department Of Orthopaedic Surgery, Winston Salem, NC 27157 · (336) 716-3448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 07001329A (IN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 707 (NC) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1336677046
John Paul Bonvillian, DPM's National Provider Identifier is 1336677046, issued on May 24, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Winston Salem, NC. The record was last updated on Aug 2, 2021.