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FREDRIC L. BONINE, DDS, MS, PC
NPI 1184980914
Preferred Provider Organization in Brighton, MI

Active since April 05, 2012
6893 GRAND RIVER RD, BRIGHTON, MI 48114(810) 229-9180(810) 229-1880 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fredric L. Bonine, Dds, Ms, Pc NPPES

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

FREDRIC L. BONINE, DDS, MS, PC (NPI 1184980914) is a healthcare organization registered as a preferred provider organization in Brighton, Michigan and active in the NPI registry since April 2012. The organization lists Fredric L. Bonine, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1184980914
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameFREDRIC L. BONINE, DDS, MS, PC
Location Address6893 GRAND RIVER RDBrighton, MI 48114-9345
Mailing Address6893 Grand River RdBrighton, MI 48114-9345 · (810) 229-9180 · Fax (810) 229-1880
Phone(810) 229-9180
Fax(810) 229-1880
Organization SubpartYesParent: Dr. Fredric L. Bonine, Dds, Ms, Pc
Authorized OfficialFredric L. BonineSole Proprietor · (810) 229-9180
Enumeration DateApril 5, 2012
Last NPPES UpdateMay 22, 2012
✔ NPI 1184980914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in MI · 2901012106
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
6893 GRAND RIVER RD, Brighton, MI 48114
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Other Names 1

Doing Business AsFredric L. Bonine, Dds, Ms, Pc

Other Identifiers 2

Medicare UPINT82797MI
Other1063440543MI · Individual Npi

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fredric L. Bonine, Dds, Ms, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fredric L. Bonine, DDS, Ms, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fredric Bonine, DDS, MS, PC
Oral Surgery
NPI 1063440543
6893 GRAND RIVER RD
Brighton, MI 48114
(810) 229-9180
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fredric L. Bonine, Dds, Ms, PC's NPI number?

The NPI number for Fredric L. Bonine, Dds, Ms, PC is 1184980914. It was assigned to this organization in the NPPES registry on April 5, 2012.

Where is Fredric L. Bonine, Dds, Ms, PC located?

Fredric L. Bonine, Dds, Ms, PC is located at 6893 Grand River Rd, Brighton, MI 48114. The listed phone number is (810) 229-9180.

What is Fredric L. Bonine, Dds, Ms, PC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Fredric L. Bonine, Dds, Ms, PC enrolled in Medicare?

Yes. Fredric L. Bonine, Dds, Ms, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fredric L. Bonine, Dds, Ms, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Fredric L. Bonine, Dds, Ms, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fredric L. Bonine, Dds, Ms, PC was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.