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DR. JOHN JOSEPH BONACORSI M.D.
NPI 1265541395
Specialist in Bridgeton, MO

Active since August 30, 2006
12277 DE PAUL DR, STE. 502S, BRIDGETON, MO 63044(314) 291-5307(314) 291-0838 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Joseph Bonacorsi M.d. NPPES

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

DR. JOHN JOSEPH BONACORSI M.D. (NPI 1265541395) is an individual specialist in Bridgeton, Missouri, licensed in Missouri (R5611) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1265541395
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOHN JOSEPH BONACORSICredential: M.D.
Location Address12277 DE PAUL DR, STE. 502SBridgeton, MO 63044-2516
Mailing Address12277 De Paul Dr, Ste. 502sBridgeton, MO 63044-2516
Phone(314) 291-5307
Fax(314) 291-0838
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 14, 2011
✔ NPI 1265541395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MO · R5611
Definition
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.
12277 DE PAUL DR, Bridgeton, MO 63044
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Other Identifiers 4

Medicaid200165504MO
Other001013172MO · Ptan
Medicare UPINA11026MO
Medicare ID-Type Unspecified001013172MO

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN T MCLAUGHLIN M.D.
Internal Medicine
12277 DE PAUL DR, SUITE 504
BRIDGETON, MO 63044
St. Louis County (314) 298-3893
MELVIN BORIS SALTZMAN D.O.
Internal Medicine (Gastroenterology)
12277 DE PAUL DR, STE 404
BRIDGETON, MO 63044
St. Louis County (314) 770-1000
DR. WALTER F BENOIST M.D.
Pediatrics
12277 DE PAUL DR, SUITE 506
BRIDGETON, MO 63044
St. Louis County (314) 770-2300
DR. DION GRANT FISHER M.D
Internal Medicine
12277 DE PAUL DR, SUITE 504
BRIDGETON, MO 63044
St. Louis County (314) 298-3893
SSM DEPAUL MEDICAL GROUP, INC.
Obstetrics & Gynecology
12277 DE PAUL DR, SUITE 403
BRIDGETON, MO 63044
St. Louis County (314) 344-7585
JOULE N STEVENSON MD LLC
Clinic/Center (Primary Care)
12277 DE PAUL DR, SUITE 406
BRIDGETON, MO 63044
St. Louis County (314) 731-7844
STEPHANIE LEE COGAN-LEVY MD
Obstetrics & Gynecology
12277 DE PAUL DR, STE 501S
BRIDGETON, MO 63044
St. Louis County (314) 739-8844
MULTI-CARE MEDICAL, PC
Internal Medicine
12277 DE PAUL DR, STE 404
BRIDGETON, MO 63044
St. Louis County (314) 770-1000

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 John Bonacorsi's NPI number?

The NPI number for John Bonacorsi is 1265541395. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is John Bonacorsi located?

John Bonacorsi practices at 12277 De Paul Dr Ste. 502S, Bridgeton, MO 63044. The listed phone number is (314) 291-5307.

What is John Bonacorsi's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for John Bonacorsi was last updated on September 14, 2011. 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.