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DR. MARK DOUGLAS BONNELL M.D.
NPI 1801872338
Family Medicine - Geriatric Medicine in Espanola, NM

Active since December 16, 2005
SANTA CLARA HEALTH CENTER, RR 5 BOX 446, ESPANOLA, NM 87532(505) 753-5039 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Douglas Bonnell M.d. NPPES

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

DR. MARK DOUGLAS BONNELL M.D. (NPI 1801872338) is an individual geriatric medicine provider in Espanola, New Mexico, licensed in New Mexico (85-163) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1801872338
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. MARK DOUGLAS BONNELLCredential: M.D.
Location AddressSANTA CLARA HEALTH CENTER, RR 5 BOX 446Espanola, NM 87532-8908
Mailing AddressRr 5 Box 446, Santa Clara Pueblo Health CenterEspanola, NM 87532-8908 · (505) 753-9421 · Fax (505) 753-5039
Phone(505) 753-5039
Sole ProprietorNo
Enumeration DateDecember 16, 2005
Last NPPES UpdateNovember 19, 2007
✔ NPI 1801872338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in NM · 85-163
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License 85-163 (NM)
SANTA CLARA HEALTH CENTER, Espanola, NM 87532
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Other Identifiers 1

Medicare UPINA02516NM

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 Mark Bonnell's NPI number?

The NPI number for Mark Bonnell is 1801872338. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Mark Bonnell located?

Mark Bonnell practices at Santa Clara Health Center Rr 5 Box 446, Espanola, NM 87532. The listed phone number is (505) 753-5039.

What is Mark Bonnell's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Mark Bonnell was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.