ALEC THOMAS BONIFER MD
NPI 1407483167
Otolaryngology - Plastic Surgery within the Head & Neck in Grand Rapids, MI

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
4069 LAKE DR SE STE 315, GRAND RAPIDS, MI 49546(616) 267-7758 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2025, Mar 24, 2020 (2 updates tracked since 2020).

About Alec Thomas Bonifer Md NPPES

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

ALEC THOMAS BONIFER MD (NPI 1407483167) is an individual plastic surgery within the head & neck provider in Grand Rapids, Michigan, licensed in Michigan (4301513405) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1407483167
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameALEC THOMAS BONIFERCredential: MD
Location Address4069 LAKE DR SE STE 315Grand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateJuly 31, 20252 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
NPI 1407483167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License Licensed in MI · 4301513405
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 4301513405 (MI)
4069 LAKE DR SE STE 315, Grand Rapids, MI 49546

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alec Thomas Bonifer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749611838
PECOS Enrollment IDI20250617000621
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

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.

Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Internal Medicine (Geriatric Medicine)
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Nurse Practitioner
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Internal Medicine
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546

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 Alec Bonifer's NPI number?

The NPI number for Alec Bonifer is 1407483167. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Alec Bonifer located?

Alec Bonifer practices at 4069 Lake Dr SE Ste 315, Grand Rapids, MI 49546. The listed phone number is (616) 267-7758.

What is Alec Bonifer's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Alec Bonifer enrolled in Medicare?

Yes. Alec Bonifer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alec Bonifer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Alec Bonifer 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.

Is Alec Bonifer affiliated with any hospitals?

According to CMS data, Alec Bonifer is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Alec Bonifer was last updated on July 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.