DR. JOHN JOSEPH BONACORSI M.D.
NPI 1265541395
Specialist in Bridgeton, MO
NPI Status: Active since August 30, 2006
Contact Information
12277 DE PAUL DR
STE. 502S
BRIDGETON, MO
ZIP 63044
Phone: (314) 291-5307
Fax: (314) 291-0838
- Individual
- Male
- Specialist
About JOHN BONACORSI
This page provides the complete NPI Profile along with additional information for John Bonacorsi, a provider established in Bridgeton, Missouri with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1265541395 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X with license number R5611 (MO). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1265541395
- Provider Name
- DR. JOHN JOSEPH BONACORSI M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12277 DE PAUL DR STE. 502S BRIDGETON, MO 63044
- Location Phone
- (314) 291-5307
- Location Fax
- (314) 291-0838
- Mailing Address
- 12277 DE PAUL DR STE. 502S BRIDGETON, MO 63044
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-30-2006
- Last Update Date
- 09-14-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- R5611
- License State
- MO
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200165504 | MEDICAID (05) | MO | |
| 001013172 | OTHER (01) | MO | PTAN |
| A11026 | MEDICARE UPIN (02) | MO | |
| 001013172 | MEDICARE ID-TYPE UNSPECIFIED (04) | MO |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265541395, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265541395, enumerated as an "individual" on August 30, 2006.
The provider is located at 12277 DE PAUL DR STE. 502S BRIDGETON, MO 63044 and the phone number is (314) 291-5307.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
