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DAVID BRADLEY BONHAM JR. CNP
NPI 1003650607
Nurse Practitioner - Family in Port Arthur, TX

Active since June 19, 2024PECOS EnrolledAccepts Medicare Assignment
2501 JIMMY JOHNSON BLVD STE 110, PORT ARTHUR, TX 77640(409) 344-4466 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Bradley Bonham Jr. Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID BRADLEY BONHAM JR. CNP (NPI 1003650607) is an individual family provider in Port Arthur, Texas, licensed in Texas (1167246) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003650607
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDAVID BRADLEY BONHAM JR.Credential: CNP
Location Address2501 JIMMY JOHNSON BLVD STE 110Port Arthur, TX 77640-2011
Mailing Address8849 Pinewood Dr Apt 8203Port Arthur, TX 77640-1185 · (832) 744-2375
Phone(409) 344-4466
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 19, 2024
NPPES CertifiedJune 19, 2024
✔ NPI 1003650607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1167246
2501 JIMMY JOHNSON BLVD STE 110, Port Arthur, TX 77640
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Bradley Bonham Jr. Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092254292
PECOS Enrollment IDI20240903000887
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
456 services83 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
140 services67 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Bonham's NPI number?

The NPI number for David Bonham is 1003650607. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is David Bonham located?

David Bonham practices at 2501 Jimmy Johnson Blvd Ste 110, Port Arthur, TX 77640. The listed phone number is (409) 344-4466.

What is David Bonham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is David Bonham enrolled in Medicare?

Yes. David Bonham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Bonham accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Molina Healthcare list David Bonham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Bonham was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.