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JACK W. BONNER III M.D.
NPI 1336199751
Psychiatry & Neurology - Psychiatry in Greenville, SC

Active since May 10, 2006
701 GROVE RD, GREENVILLE, SC 29605(864) 455-8431 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack W. Bonner Iii M.d. NPPES

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

JACK W. BONNER III M.D. (NPI 1336199751) is an individual psychiatry provider in Greenville, South Carolina, licensed in South Carolina (17455) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1336199751
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJACK W. BONNER IIICredential: M.D.
Location Address701 GROVE RDGreenville, SC 29605-5611
Mailing Address7 Independence Pt, Suite 140Greenville, SC 29615-4566 · (864) 797-6044
Phone(864) 455-8431
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateDecember 28, 2009
✔ NPI 1336199751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SC · 17455
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
701 GROVE RD, Greenville, SC 29605
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Other Identifiers 4

Medicaid174555SC
Medicare PINC828777951SC
Medicare PINC828774464SC
Medicare UPINC82877SC

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.

ABDULLAH DARVESH
Internal Medicine
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7882
DANIEL RUIZ
Internal Medicine
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7882
ALAN ROBERT THOMPSON MD
Hospitalist
701 GROVE RD, 5TH FLOOR
GREENVILLE, SC 29605
Greenville County (864) 455-4411
GEORGE R SWEET CRNA
Nurse Anesthetist, Certified Registered
701 GROVE RD, ANESTHESIA DEPT
GREENVILLE, SC 29605
Greenville County (864) 455-7111
CRAIG DOUGLAS YOUNG PHD
Clinical Neuropsychologist
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7000
JENNIFER WEBB GEORGE CRNA
Nurse Anesthetist, Certified Registered
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7111
MEENU MARIE VARGHESE D.O.
Internal Medicine
701 GROVE RD, 5TH FLOOR SUPPORT TOWER
GREENVILLE, SC 29605
Greenville County (864) 455-7882
AMANDA TIPTON LARSON CRNA
Nurse Anesthetist, Certified Registered
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 522-2286

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 Jack Bonner's NPI number?

The NPI number for Jack Bonner is 1336199751. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Jack Bonner located?

Jack Bonner practices at 701 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-8431.

What is Jack Bonner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Jack Bonner was last updated on December 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.