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BON NOLA, M.D. , LLC
NPI 1275715534
Internal Medicine in Wichita, KS

Active since November 28, 2007CLIA 17D1079743 · Waiver
804 S OLIVER AVE, WICHITA, KS 67218(316) 689-6004(316) 613-2934 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2023, Apr 19, 2018 (2 updates tracked since 2018).

About Bon Nola, M.d. , Llc NPPES

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

BON NOLA, M.D. , LLC (NPI 1275715534) is a healthcare organization registered as an internal medicine in Wichita, Kansas and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through February 5, 2028, maintains a secondary practice location in Wichita, and lists Bounsavath Nola, Owner, as its authorized official.

NPPES Registry Identity

NPI1275715534
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBON NOLA, M.D. , LLC
Location Address804 S OLIVER AVEWichita, KS 67218-2329
Mailing Address1431 S Bluffview Dr, S-116Wichita, KS 67218-3039 · (316) 689-6004
Phone(316) 689-6004
Fax(316) 613-2934
Organization SubpartNo
Authorized OfficialBounsavath NolaOwner · (316) 689-6004
Enumeration DateNovember 28, 2007
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1275715534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 0424718
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
804 S OLIVER AVE, Wichita, KS 67218
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Secondary Practice Location 1

Location 11431 S Bluffview Dr, S-116Wichita, KS 67218-3039 · Phone (316) 689-6004

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D1079743

Bon Nola MD, LLC · Wichita, KS
Active · expires Feb 5, 2028
CLIA Number17D1079743
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorBon Nola
Laboratory Phone(316) 689-6004
Laboratory LocationBon Nola MD, LLC804 S Oliver Ave, Wichita, KS 67218
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

REINE NOLA D.P.T.
Physical Therapist
804 S OLIVER AVE
WICHITA, KS 67218
Sedgwick County (316) 779-4110
OSTEOPRACTIC PHYSICAL THERAPY CLINIC OF WICHITA LLC
Physical Therapist (Orthopedic)
804 S OLIVER AVE
WICHITA, KS 67218
Sedgwick County (316) 779-4110

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 Bon Nola, M.D. , LLC's NPI number?

The NPI number for Bon Nola, M.D. , LLC is 1275715534. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Bon Nola, M.D. , LLC located?

Bon Nola, M.D. , LLC is located at 804 S Oliver Ave, Wichita, KS 67218. The listed phone number is (316) 689-6004.

What is Bon Nola, M.D. , LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Bon Nola, M.D. , LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D1079743) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bon Nola, M.D. , LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Bon Nola, M.D. , LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bon Nola, M.D. , LLC was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.