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DR. JAMES ROY BONNER M.D.
NPI 1083754717
Pediatrics in Cranston, RI

Active since February 08, 2007CLIA 41D0950832 · Waiver
1150 RESERVOIR AVE, SUITE 205, CRANSTON, RI 02920(401) 943-9222(401) 943-9290 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Roy Bonner M.d. NPPES

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

DR. JAMES ROY BONNER M.D. (NPI 1083754717) is an individual pediatrics provider in Cranston, Rhode Island, licensed in Rhode Island (MD08084) and active in the NPI registry since February 2007. He holds a CLIA Waiver certificate valid through January 18, 2027.

NPPES Registry Identity

NPI1083754717
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAMES ROY BONNERCredential: M.D.
Location Address1150 RESERVOIR AVE, SUITE 205Cranston, RI 02920-6068
Mailing Address1150 Reservoir Ave, Suite 205Cranston, RI 02920-6068 · (401) 943-9222 · Fax (401) 943-9290
Phone(401) 943-9222
Fax(401) 943-9290
Sole ProprietorNo
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083754717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in RI · MD08084
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1150 RESERVOIR AVE, Cranston, RI 02920
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Other Identifiers 2

MedicaidJB43582RI
Medicare UPINF91956

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D0950832

James Bonner Md/Administrative Svc Group · Cranston, RI
Active · expires Jan 18, 2027
CLIA Number41D0950832
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorJames Bonner MD
Laboratory Phone(401) 943-9222
Laboratory LocationJames Bonner Md/Administrative Svc Group1150 Reservoir Ave Suite 205, Cranston, RI 02920
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

THOMAS HENRY MCGREEN M.D.
Internal Medicine (Gastroenterology)
1150 RESERVOIR AVE, SUITE 201
CRANSTON, RI 02920
Providence County (401) 943-1300
DR. ROBERT L GRAVES D.O.
Internal Medicine
1150 RESERVOIR AVE, SUITE 304
CRANSTON, RI 02920
Providence County (401) 942-3330
DR. ROBERT JOHN BIERWIRTH M.D.
Internal Medicine (Gastroenterology)
1150 RESERVOIR AVE, SUITE 201
CRANSTON, RI 02920
Providence County (401) 943-1300
DR. MICHAEL LEE JACOBS PT, DPT
Physical Therapist
1150 RESERVOIR AVE, SUITE 103
CRANSTON, RI 02920
Providence County (401) 942-2625
DR. JOSEPH N DERUOSI MD
Emergency Medicine (Emergency Medical Services)
1150 RESERVOIR AVE
CRANSTON, RI 02920
Providence County (401) 946-2400
ANITA OFORIWAA OBENG APRN
Nurse Practitioner (Psychiatric/Mental Health)
1150 RESERVOIR AVE
CRANSTON, RI 02920
Providence County (401) 259-0340
RAYMOND A LAMBERT III
Counselor (Mental Health)
1150 RESERVOIR AVE
CRANSTON, RI 02920
Providence County (401) 259-0340
JESSICA MEDINA
Optometrist
1150 RESERVOIR AVE
CRANSTON, RI 02920
Providence County (401) 943-8151

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 James Bonner's NPI number?

The NPI number for James Bonner is 1083754717. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is James Bonner located?

James Bonner practices at 1150 Reservoir Ave Suite 205, Cranston, RI 02920. The listed phone number is (401) 943-9222.

What is James Bonner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does James Bonner hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0950832) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for James Bonner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.