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BONNIE CLARK PA C
NPI 1508899170
Physician Assistant - Medical in Albuquerque, NM

Active since July 08, 2006
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108(505) 262-7026(505) 727-9276 Get Directions Write a Review

NPPES record last updated: December 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonnie Clark Pa C NPPES

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

BONNIE CLARK PA C (NPI 1508899170) is an individual medical provider in Albuquerque, New Mexico, licensed in New Mexico (79-PA004) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1508899170
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBONNIE CLARKCredential: PA C
Location Address5400 GIBSON BLVD SEAlbuquerque, NM 87108-4729
Mailing Address5400 Gibson Blvd SeAlbuquerque, NM 87108-4729 · (505) 262-7026 · Fax (505) 727-9276
Phone(505) 262-7026
Fax(505) 727-9276
Sole ProprietorNo
Enumeration DateJuly 8, 2006
Last NPPES UpdateDecember 18, 2008
✔ NPI 1508899170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NM · 79-PA004
5400 GIBSON BLVD SE, Albuquerque, NM 87108
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Other Identifiers 3

Medicare UPINB08616
Medicare ID-Type Unspecified341417401NM
Medicaid59428NM

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.

MS. MARIA MAGDALENA LOPEZ-VILLA PHARM D
Pharmacist
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 727-5915
BIKAL WAGLE
Nurse Practitioner
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 842-5550
DR. MARJORIE CYPRESS CNP
Nurse Practitioner (Adult Health)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 262-7455
MATTHEW D POAGE MD
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (904) 805-1300
REMI LAWRENCE-HYLTON MD
Pediatrics
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 262-7000
HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE, LLC
Psychiatric Hospital
5400 GIBSON BLVD SE, 4TH FLOOR
ALBUQUERQUE, NM 87108
Bernalillo County (615) 393-8826
HORIZON SERVICES, INC
Substance Abuse Rehabilitation Facility
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (510) 582-2100
MS. ALAINA NICOLE GARCIA LMSW
Counselor (Addiction (Substance Use Disorder))
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 383-1152

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 Bonnie Clark's NPI number?

The NPI number for Bonnie Clark is 1508899170. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Bonnie Clark located?

Bonnie Clark practices at 5400 Gibson Blvd SE, Albuquerque, NM 87108. The listed phone number is (505) 262-7026.

What is Bonnie Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Bonnie Clark was last updated on December 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.