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Ronald Lee Bonfiglio, MD

Physical Medicine & Rehabilitation in Fort Wayne, IN. Individual provider (NPI-1).

NPI number1215944947
StatusActive
Last updated in NPPESNov 6, 2025

Details

NPI
1215944947
Entity type
Individual (NPI-1)
Name
Ronald Lee Bonfiglio
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 2, 2006
Certification date
Nov 6, 2025
Last updated
Nov 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation01057501DINYes
208100000X Physical Medicine & Rehabilitation35061226OH
208100000X Physical Medicine & Rehabilitation57000KY
208100000X Physical Medicine & Rehabilitation53781TN
208100000X Physical Medicine & Rehabilitation1768AZ

Practice location

7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone 260-435-6100

Mailing address

1776 Woodstead Ct Ste 208
The Woodlands, TX 77380-1480

Phone 877-749-7428

Other practice locations

2200 Randallia Dr
Fort Wayne, IN 46805-4638

Phone 260-373-6454 · Fax 260-373-6470

911 Bypass Rd Bldg A
Pikeville, KY 41501-1602

Phone 606-430-3500

770 W High St Ste 160
Lima, OH 45801

Phone 419-996-5224 · Fax 419-996-5276

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