BONNER GENERAL HOSPITAL, INC
NPI 1801739339
Urology in Sandpoint, ID

Active since April 10, 2026
423 N 3RD AVE STE 110, SANDPOINT, ID 83864(208) 265-3342(208) 263-1766 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2026, May 14, 2026, Apr 10, 2026 (3 updates tracked since 2026).

About Bonner General Hospital, Inc NPPES

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

BONNER GENERAL HOSPITAL, INC (NPI 1801739339), doing business as Bonner General Urology, is a healthcare organization registered as an urology in Sandpoint, Idaho and active in the NPI registry since April 2026. The organization lists John Hennessy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801739339
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameBONNER GENERAL HOSPITAL, INC
Location Address423 N 3RD AVE STE 110Sandpoint, ID 83864-1511
Mailing AddressPo Box 1343Sandpoint, ID 83864-0863 · (208) 265-1158 · Fax (208) 265-1278
Fax(208) 263-1766
Organization SubpartNo
Authorized OfficialJohn HennessyCeo · (208) 265-1100
Enumeration DateApril 10, 2026
Last NPPES UpdateAugust 14, 20263 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1801739339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
423 N 3RD AVE STE 110, Sandpoint, ID 83864

Other Names 1

Doing Business AsBonner General Urology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonner General Hospital, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20040626000014Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

74

Medicare enrollment records show 74 clinicians reassign Medicare billing to Bonner General Hospital, Inc, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Diagnostic Radiology29
Nurse Practitioner14
Emergency Medicine11
Internal Medicine4
Orthopedic Surgery4
Family Practice3
Clinical Psychologist2
Clinical Social Worker1
6 other specialties6

Nearest to this location (20)

See all 74
Urology
NPI 1285605097
423 N 3RD AVE STE 110
Sandpoint, ID 83864
(208) 265-3342
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1194762732
423 N 3RD AVE STE 210
Sandpoint, ID 83864
(208) 263-6876
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1467936039
423 N 3RD AVE STE 210
Sandpoint, ID 83864
(208) 265-2221
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588912836
423 N 3RD AVE STE 210
Sandpoint, ID 83864
(208) 263-2173
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669756813
423 N 3RD AVE STE 201
Sandpoint, ID 83864
(208) 263-2221
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619107364
423 N 3RD AVE STE 210
Sandpoint, ID 83864
(208) 265-2221
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1255399457
423 N 3RD AVE STE 110
Sandpoint, ID 83864
(208) 265-1011
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760827372
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-0649
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1700669165
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-0649
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1881566602
520 N 3RD AVE
Sandpoint, ID 83864
(208) 265-2221
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1487944336
520 N THIRD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS0.1 mi
Clinical Psychologist
NPI 1811776859
606 N THIRD AVE STE 203
Sandpoint, ID 83864
(208) 265-1090
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1528248333
606 N THIRD AVE STE 203
Sandpoint, ID 83864
(208) 265-1090
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1982076204
606 N 3RD AVE
Sandpoint, ID 83864
(208) 265-1046
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1164597431
606 N. 3RD AVENUE SUITE 201
Sandpoint, ID 83864
(208) 263-8597
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1306830922
606 N 3RD AVE STE 201
Sandpoint, ID 83864
(208) 263-8597
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1023276896
423 N THIRD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS✔ Accepts Medicare0.6 mi
Emergency Medicine
NPI 1942944566
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS✔ Accepts Medicare0.6 mi
Interventional Cardiology
NPI 1992751648
606 N 3RD AVE SUITE 203
Sandpoint, ID 83864
(208) 263-2505
✔ PECOS✔ Accepts Medicare0.6 mi
Orthopedic Surgery
NPI 1891056826
606 N THIRD AVE STE 201
Sandpoint, ID 83864
(208) 263-8597
✔ PECOS✔ Accepts Medicare0.6 mi
See all 74 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bonner General Hospital, Inc's NPI number?

The NPI number for Bonner General Hospital, Inc is 1801739339. It was assigned to this organization in the NPPES registry on April 10, 2026. The provider is doing business as Bonner General Urology.

Where is Bonner General Hospital, Inc located?

Bonner General Hospital, Inc is located at 423 N 3rd Ave Ste 110, Sandpoint, ID 83864. The listed phone number is (208) 265-3342.

What is Bonner General Hospital, Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Bonner General Hospital, Inc enrolled in Medicare?

Yes. Bonner General Hospital, Inc is registered in the Medicare PECOS enrollment system.

When is Bonner General Hospital, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bonner General Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 74 clinicians in 14 Medicare specialties reassign their Medicare billing to Bonner General Hospital, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (29), Nurse Practitioner (14) and Emergency Medicine (11). Of these, 7 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bonner General Hospital, Inc accept?

Health plans from Molina Healthcare list Bonner General Hospital, Inc 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.

When was this NPI record last updated?

The NPPES record for Bonner General Hospital, Inc was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.