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RAPHAEL BONELLE
NPI 1184079014
Point of Service in Oklahoma City, OK

Active since April 28, 2016
12201 GARDEN CT, OKLAHOMA CITY, OK 73170(405) 510-4108 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raphael Bonelle NPPES

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

RAPHAEL BONELLE (NPI 1184079014) is a healthcare organization registered as a point of service in Oklahoma City, Oklahoma and active in the NPI registry since April 2016. The organization lists Raphael Bonelle, Case Manager, as its authorized official.

NPPES Registry Identity

NPI1184079014
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameRAPHAEL BONELLE
Location Address12201 GARDEN CTOklahoma City, OK 73170-4006
Mailing Address12201 Garden CtOklahoma City, OK 73170-4006 · (405) 510-4108
Phone(405) 510-4108
Organization SubpartNo
Authorized OfficialRaphael BonelleCase Manager · (405) 510-4108
Enumeration DateApril 28, 2016
✔ NPI 1184079014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
12201 GARDEN CT, Oklahoma City, OK 73170
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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 Raphael Bonelle's NPI number?

The NPI number for Raphael Bonelle is 1184079014. It was assigned to this organization in the NPPES registry on April 28, 2016.

Where is Raphael Bonelle located?

Raphael Bonelle is located at 12201 Garden Ct, Oklahoma City, OK 73170. The listed phone number is (405) 510-4108.

What is Raphael Bonelle's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Raphael Bonelle was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.