1. Home
  2. Directory
  3. Florida
  4. Fort Pierce
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ANTHONY BONILLA
NPI 1053269282
Student in an Organized Health Care Education/Training Program in Fort Pierce, FL

Active since March 21, 2026PECOS Enrolled
1700 S 23RD ST, FORT PIERCE, FL 34950(772) 468-4554 Get Directions Write a Review

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

About Anthony Bonilla NPPES

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

ANTHONY BONILLA (NPI 1053269282) is an individual student in an organized health care education/training program in Fort Pierce, Florida and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053269282
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTHONY BONILLA
Location Address1700 S 23RD STFort Pierce, FL 34950-4803
Mailing Address1700 S 23rd StFort Pierce, FL 34950-4803 · (772) 468-4554
Phone(772) 468-4554
Sole ProprietorNo
Enumeration DateMarch 21, 2026
NPPES CertifiedMarch 21, 2026
✔ NPI 1053269282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1700 S 23RD ST, Fort Pierce, FL 34950
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Bonilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SHERIDAN ROP SERVICES OF FLORIDA, INC.
Ophthalmology
1700 S 23RD ST
FORT PIERCE, FL 34950
St. Lucie County (772) 461-4000
MICHAEL ALVAREZ
Physician Assistant
1700 S 23RD ST
FORT PIERCE, FL 34950
St. Lucie County (772) 461-4000
MS. MISELINE LAGESSE FNP
Nurse Practitioner (Family)
1700 S 23RD ST
FORT PIERCE, FL 34950
St. Lucie County (305) 318-1388
SPENCER SMODISH DO
Emergency Medicine
1700 S 23RD ST
FORT PIERCE, FL 34950
St. Lucie County (772) 461-4000
JOSHUA T RHEAD
Student in an Organized Health Care Education/Training Program
1700 S 23RD ST
FORT PIERCE, FL 34950
St. Lucie County (777) 468-4554
JENNIFER RENEE RAINEY CRNA
Nurse Anesthetist, Certified Registered
1700 S 23RD ST
FORT PIERCE, FL 34950
St. Lucie County (772) 461-4000
MS. KIRSTEN ALEXANDRA NATHAN
Internal Medicine
1700 S 23RD ST
FORT PIERCE, FL 34950
St. Lucie County (772) 461-4000
LAWNWOOD ANESTHESIA PROVIDERS LLC
Anesthesiology
1700 S 23RD ST
FORT PIERCE, FL 34950
St. Lucie County (772) 461-4000

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 Anthony Bonilla's NPI number?

The NPI number for Anthony Bonilla is 1053269282. It was assigned to this individual provider in the NPPES registry on March 21, 2026.

Where is Anthony Bonilla located?

Anthony Bonilla practices at 1700 S 23rd St, Fort Pierce, FL 34950. The listed phone number is (772) 468-4554.

What is Anthony Bonilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anthony Bonilla enrolled in Medicare?

Yes. Anthony Bonilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Bonilla was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.