BONNIE JORDAN M.D.
NPI 1083889422
Pediatrics - Developmental - Behavioral Pediatrics in Tacoma, WA

Q: What is Bonnie Jordan's NPI number?

The NPI number for Bonnie Jordan is 1083889422. It was assigned to this individual provider in the NPPES registry on April 27, 2008.

Q: What is Bonnie Jordan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Bonnie Jordan was last updated on February 16, 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 27, 2008PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-5132(253) 968-5294 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2022, Sep 28, 2018 (2 updates tracked since 2018).

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About Bonnie Jordan M.d. NPPES

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

BONNIE JORDAN M.D. (NPI 1083889422) is an individual developmental - behavioral pediatrics provider in Tacoma, Washington, licensed in Nebraska (25016) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083889422

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameBONNIE JORDANCredential: M.D.

Location Address9040 JACKSON AVETacoma, WA 98431-4613

Mailing Address9040 Jackson AvenueTacoma, WA 98431-0001

Phone(253) 968-5132

Fax(253) 968-5294

Sole ProprietorNo

Enumeration DateApril 27, 2008

Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2022

✔ NPI 1083889422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in NE · 25016

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedPediatricsTaxonomy 208000000X · License 25016 (NE)

9040 JACKSON AVE, Tacoma, WA 98431

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonnie Jordan M.d. 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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered