MR. TERRY JOE BONEBRAKE CARE MANAGER/QIDP
NPI 1053051359
Case Manager/Care Coordinator in Jenison, MI

Q: What is Terry Bonebrake's NPI number?

The NPI number for Terry Bonebrake is 1053051359. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Q: What is Terry Bonebrake's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Terry Bonebrake was last updated on April 1, 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.

Active since April 01, 2022

2228 SANDSTONE DR, JENISON, MI 49428(616) 204-1571 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Terry Joe Bonebrake Care Manager/qidp NPPES

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

MR. TERRY JOE BONEBRAKE CARE MANAGER/QIDP (NPI 1053051359) is an individual case manager/care coordinator provider in Jenison, Michigan and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1053051359

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. TERRY JOE BONEBRAKECredential: CARE MANAGER/QIDP

Location Address2228 SANDSTONE DRJenison, MI 49428-7769

Mailing Address2228 Sandstone DrJenison, MI 49428-7769 · (616) 204-1571

Phone(616) 204-1571

Sole ProprietorYes

Enumeration DateApril 1, 2022

NPPES CertifiedApril 1, 2022

✔ NPI 1053051359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedDoulaTaxonomy 374J00000X

Also ListedReligious Nonmedical PractitionerTaxonomy 374K00000X

2228 SANDSTONE DR, Jenison, MI 49428

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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 Terry Bonebrake's NPI number?

The NPI number for Terry Bonebrake is 1053051359. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Terry Bonebrake located?

Terry Bonebrake practices at 2228 Sandstone Dr, Jenison, MI 49428. The listed phone number is (616) 204-1571.

What is Terry Bonebrake's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Terry Bonebrake was last updated on April 1, 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.