MARK D BONNEN MD PA
NPI 1003928326
Specialist in Lake Jackson, TX
About Mark D Bonnen Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK D BONNEN MD PA (NPI 1003928326) is a healthcare organization registered as a specialist in Lake Jackson, Texas and active in the NPI registry since August 2006. The organization lists Mark D Bonnen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark D Bonnen Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark D Bonnen MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mark D Bonnen MD PA's NPI number?
The NPI number for Mark D Bonnen MD PA is 1003928326. It was assigned to this organization in the NPPES registry on August 31, 2006.
Where is Mark D Bonnen MD PA located?
Mark D Bonnen MD PA is located at 100 Medical Dr # B, Lake Jackson, TX 77566. The listed phone number is (979) 297-9268.
What is Mark D Bonnen MD PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Mark D Bonnen MD PA enrolled in Medicare?
Yes. Mark D Bonnen MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mark D Bonnen MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Radiation Oncology) reassigns their Medicare billing to Mark D Bonnen MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mark D Bonnen MD PA accept?
Health plans from WellPoint list Mark D Bonnen MD PA 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 Mark D Bonnen MD PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mark D Bonnen Md Pa · NPI 1003928326
Specialist organization in Lake Jackson, Texas. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1003928326 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Mark Bonnen, PRESIDENT
## Practice location
- **Address:** 100 MEDICAL DR # B, Lake Jackson, TX 77566-5674
- **Phone:** (979) 297-9268 · **Fax:** (979) 297-9331
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Radiation Oncology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003928326) · Data from the CMS NPPES public registry.