DANIEL L BONIFACIO D.O.
NPI 1033104880
Internal Medicine - Cardiovascular Disease in Traverse City, MI

Active since September 19, 2005
1200 SIXTH ST, SUITE 200, TRAVERSE CITY, MI 49684(231) 935-5800(231) 935-5799 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 17, 2017 (2 updates tracked since 2017).

About Daniel L Bonifacio D.o. NPPES

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

DANIEL L BONIFACIO D.O. (NPI 1033104880) is an individual cardiovascular disease provider in Traverse City, Michigan, licensed in Michigan (5101011505) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1033104880
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDANIEL L BONIFACIOCredential: D.O.
Location Address1200 SIXTH ST, SUITE 200Traverse City, MI 49684-2369
Mailing Address2891 Momentum PlChicago, IL 60689-5328 · (231) 935-6080 · Fax (231) 935-6081
Fax(231) 935-5799
Sole ProprietorNo
Enumeration DateSeptember 19, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1033104880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MI · 5101011505
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1200 SIXTH ST, Traverse City, MI 49684

Other Identifiers 1

Medicaid4204742MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Nurse Practitioner (Women's Health)
1200 SIXTH ST, STE 400
TRAVERSE CITY, MI 49684
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Midwife
1200 SIXTH ST, STE 400
TRAVERSE CITY, MI 49684
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Internal Medicine (Interventional Cardiology)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Obstetrics & Gynecology
1200 SIXTH ST, STE 400
TRAVERSE CITY, MI 49684

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 Daniel Bonifacio's NPI number?

The NPI number for Daniel Bonifacio is 1033104880. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Daniel Bonifacio located?

Daniel Bonifacio practices at 1200 Sixth St Suite 200, Traverse City, MI 49684. The listed phone number is (231) 935-5800.

What is Daniel Bonifacio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Daniel Bonifacio 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.