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BRANDON BONILLA
NPI 1306600796
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since February 07, 2024PECOS Enrolled
600 N WOLFE ST, BALTIMORE, MD 21287(410) 955-5000 Get Directions Write a Review

NPPES record last updated: May 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2026, Feb 7, 2024 (2 updates tracked since 2024).

About Brandon Bonilla NPPES

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

BRANDON BONILLA (NPI 1306600796) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1306600796
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON BONILLA
Location Address600 N WOLFE STBaltimore, MD 21287-0005
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000 · Fax (410) 500-4266
Phone(410) 955-5000
Sole ProprietorNo
Enumeration DateFebruary 7, 2024
Last NPPES UpdateMay 31, 20262 updates tracked since enumeration
NPPES CertifiedMay 31, 2026
✔ NPI 1306600796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
600 N WOLFE ST, Baltimore, MD 21287
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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 955-3080

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Bonilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

PAMELA KIMZEY DONOHUE SCD, PA-C
Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Baltimore City (410) 955-5232
MR. CHRISTOPHER DAVID SCHRIEBER M.S., PA-C
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Baltimore City (410) 955-8708
DR. SABRINA CHRISTINE SOPHA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
SANDRA KING D.H.
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Baltimore City (410) 955-6662
THERESA J RUDDY C.P.N.P., CRNP
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5260
DR. SUMAN PAUL M.B.B.S, PHD
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MS. SARAH CATHERINE COLLICA
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (443) 287-4701
JEFF S EHRESMAN
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000

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 Brandon Bonilla's NPI number?

The NPI number for Brandon Bonilla is 1306600796. It was assigned to this individual provider in the NPPES registry on February 7, 2024.

Where is Brandon Bonilla located?

Brandon Bonilla practices at 600 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-5000.

What is Brandon Bonilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brandon Bonilla enrolled in Medicare?

Yes. Brandon Bonilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Bonilla was last updated on May 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.