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MR. SEAN DOUGLAS BONNER PA
NPI 1639120207
Physician Assistant in Brooksville, FL

Active since May 16, 2006
17222 HOSPITAL BLVD STE 242, BROOKSVILLE, FL 34601(352) 683-0007 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2021, Jan 18, 2019, Aug 20, 2018 (3 updates tracked since 2018).

About Mr. Sean Douglas Bonner Pa NPPES

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

MR. SEAN DOUGLAS BONNER PA (NPI 1639120207) is an individual physician assistant in Brooksville, Florida, licensed in Florida (PA9101895) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1639120207
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SEAN DOUGLAS BONNERCredential: PA
Location Address17222 HOSPITAL BLVD STE 242Brooksville, FL 34601-8925
Mailing Address17222 Hospital Blvd Ste 242Brooksville, FL 34601-8925 · (352) 683-0007
Phone(352) 683-0007
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateJanuary 29, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
✔ NPI 1639120207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9101895
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
17222 HOSPITAL BLVD STE 242, Brooksville, FL 34601
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Other Identifiers 1

Medicaid291189200FL

Other Providers at the Same Location NPPES 4

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

TAMPA GENERAL MEDICAL GROUP INC
Surgery
17222 HOSPITAL BLVD STE 242
BROOKSVILLE, FL 34601
Hernando County (352) 544-6145
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC
Surgery
17222 HOSPITAL BLVD STE 242
BROOKSVILLE, FL 34601
Hernando County (352) 754-3565
AJMAL A BAIG MD
Surgery
17222 HOSPITAL BLVD STE 242
BROOKSVILLE, FL 34601
Hernando County (352) 544-6145
DR. MARTA BONKOWSKI M.D.
Internal Medicine
17222 HOSPITAL BLVD STE 242
BROOKSVILLE, FL 34601
Hernando County (352) 754-3565

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 Sean Bonner's NPI number?

The NPI number for Sean Bonner is 1639120207. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Sean Bonner located?

Sean Bonner practices at 17222 Hospital Blvd Ste 242, Brooksville, FL 34601. The listed phone number is (352) 683-0007.

What is Sean Bonner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Sean Bonner was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.