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DERRICK BONNER I
NPI 1174061063
Rehabilitation Practitioner in Mount Clemens, MI

Active since February 10, 2017
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043(586) 627-0024 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derrick Bonner I NPPES

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

DERRICK BONNER I (NPI 1174061063) is an individual rehabilitation practitioner in Mount Clemens, Michigan and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1174061063
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameDERRICK BONNER I
Location Address175 N GROESBECK HWYMount Clemens, MI 48043-1562
Mailing Address175 N Groesbeck HwyMount Clemens, MI 48043-1562 · (586) 627-0024
Phone(586) 627-0024
Sole ProprietorNo
Enumeration DateFebruary 10, 2017
✔ NPI 1174061063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
175 N GROESBECK HWY, Mount Clemens, MI 48043
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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.

SABRINA PRINCIPE
Case Manager/Care Coordinator
175 N GROESBECK HWY
MOUNT CLEMENS, MI 48043
Macomb County (586) 627-0024
ELYSSA TAYLOR SMITH
Case Manager/Care Coordinator
175 N GROESBECK HWY
MOUNT CLEMENS, MI 48043
Macomb County (586) 713-5103
MS. DELEECHA ARTIAGA
Counselor
175 N GROESBECK HWY
MOUNT CLEMENS, MI 48043
Macomb County (586) 713-5103
RACHEL JANE SMITH
Case Manager/Care Coordinator
175 N GROESBECK HWY
MOUNT CLEMENS, MI 48043
Macomb County (586) 465-4780
MS. AMY BISCHOF L.P.C.
Counselor (Mental Health)
175 N GROESBECK HWY
MOUNT CLEMENS, MI 48043
Macomb County (586) 627-0024
TINA SOLOMON
Counselor (Mental Health)
175 N GROESBECK HWY
MOUNT CLEMENS, MI 48043
Macomb County (586) 427-0060
MS. HARRIETTE SIMS HASON RN
Registered Nurse
175 N GROESBECK HWY
MOUNT CLEMENS, MI 48043
Macomb County (586) 627-0024
EVAN ROBERT PAPA GRAY
Case Manager/Care Coordinator
175 N GROESBECK HWY
MOUNT CLEMENS, MI 48043
Macomb County (586) 627-0024

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 Derrick Bonner's NPI number?

The NPI number for Derrick Bonner is 1174061063. It was assigned to this individual provider in the NPPES registry on February 10, 2017.

Where is Derrick Bonner located?

Derrick Bonner practices at 175 N Groesbeck Hwy, Mount Clemens, MI 48043. The listed phone number is (586) 627-0024.

What is Derrick Bonner's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Derrick Bonner was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.