DR. MACK STUART BONNER JR. MD
NPI 1407857501
General Practice in Tryon, NC

Q: What is Mack Bonner's NPI number?

The NPI number for Mack Bonner is 1407857501. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is Mack Bonner's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Mack Bonner was last updated on March 15, 2010. 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.

Active since August 10, 2005

590 S TRADE ST, TRYON, NC 28782(828) 859-0420(828) 859-0422 Get Directions Write a Review

NPPES record last updated: March 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mack Stuart Bonner Jr. Md NPPES

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

DR. MACK STUART BONNER JR. MD (NPI 1407857501) is an individual general practice provider in Tryon, North Carolina, licensed in North Carolina (27125) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1407857501

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. MACK STUART BONNER JR.Credential: MD

Location Address590 S TRADE STTryon, NC 28782-3714

Mailing Address590 S Trade StTryon, NC 28782-3714 · (828) 859-0420 · Fax (828) 859-0422

Phone(828) 859-0420

Fax(828) 859-0422

Sole ProprietorYes

Enumeration DateAugust 10, 2005

Last NPPES UpdateMarch 15, 2010

✔ NPI 1407857501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NC · 27125

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

590 S TRADE ST, Tryon, NC 28782

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Other Identifiers 4

Medicare ID-Type UnspecifiedC828788112SC

Medicare ID-Type Unspecified2003715NC

Medicare ID-Type Unspecified2330350NC

Medicare UPINC82878

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.

DR. CONNIE GENE ROSS MD

General Practice

590 S TRADE ST
TRYON, NC 28782

Polk County (828) 859-0420

INTEGRATIVE MEDICAL ASSOCIATES, PLLC

Family Medicine (Adult Medicine)

590 S TRADE ST
TRYON, NC 28782

Polk County (828) 859-0420

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 Mack Bonner's NPI number?

The NPI number for Mack Bonner is 1407857501. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Mack Bonner located?

Mack Bonner practices at 590 S Trade St, Tryon, NC 28782. The listed phone number is (828) 859-0420.

What is Mack Bonner's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mack Bonner was last updated on March 15, 2010. 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.