Individual provider · Type 1 NPI

Keith Anthony Bonacquisti, MD

Otolaryngology Physician · Scottsbluff, NE

NPI number 1487773669 Active

Practice location

4021 Avenue B
Scottsbluff, NE 69361-4602

Mailing address

1612 Cadence Loop
Cantonment, FL 32533-4737

Other practice locations

  • 2055 E South Blvd Ste 908, Montgomery, AL 36116-2007 · (334) 747-2273
  • 400 Nash Medical Arts Mall, Rocky Mount, NC 27804-1415 · (252) 962-5300

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X2026-03554 (NC)
Otolaryngology Physician 207Y00000X52438 (AL)
Otolaryngology Physician 207Y00000X036127592 (IL)
Otolaryngology Physician 207Y00000X24263 (ND)
Otolaryngology Physician 207Y00000X109503 (MO)
Otolaryngology Physician 207Y00000XCP1177 (NE)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1487773669

Keith Anthony Bonacquisti, MD's National Provider Identifier is 1487773669, issued on Mar 28, 2007. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Scottsbluff, NE. The record was last updated on Oct 9, 2026.