Nathaniel P Bonfanti, MD
Emergency Medicine in Dallas, TX. Individual provider (NPI-1).
NPI number1376869867
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1376869867
- Entity type
- Individual (NPI-1)
- Name
- Nathaniel P Bonfanti
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2010
- Last updated
- Mar 17, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | R5086 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5323 Harry Hines BlvdDallas, TX 75390-7201
Phone 214-648-3916 · Fax 214-648-8423
Mailing address
Ut Southwestern Medical Center5323 Harry Hines Blvd.
Dallas, TX 75010-8579
Phone 214-648-3916
Other practice locations
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