DR. LEO M. BONAVENTURA MD
NPI 1962419085
Obstetrics & Gynecology - Reproductive Endocrinology in Newburgh, IN

Active since August 02, 2006
4199 GATEWAY BLVD, SUITE 2900, NEWBURGH, IN 47630(812) 842-4530(812) 842-4535 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Leo M. Bonaventura Md NPPES

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

DR. LEO M. BONAVENTURA MD (NPI 1962419085) is an individual reproductive endocrinology provider in Newburgh, Indiana, licensed in Indiana (01022970) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1962419085
Entity TypeIndividualMale
Primary Taxonomy207VE0102X
Provider Legal NameDR. LEO M. BONAVENTURACredential: MD
Location Address4199 GATEWAY BLVD, SUITE 2900Newburgh, IN 47630-8940
Mailing Address4199 Gateway Blvd, Suite 2900Newburgh, IN 47630-8940 · (812) 842-4530 · Fax (812) 842-4535
Fax(812) 842-4535
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateJanuary 25, 2011
NPI 1962419085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
License Licensed in IN · 01022970
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 01022970 (IN)
4199 GATEWAY BLVD, Newburgh, IN 47630

Other Identifiers 2

Other000000580355IN · Anthem
Other000000328110IN · Anthem

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.

Registered Nurse
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner (Neonatal)
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Registered Nurse
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Obstetrics & Gynecology (Reproductive Endocrinology)
4199 GATEWAY BLVD, SUITE 2600
NEWBURGH, IN 47630
Pediatrics (Neonatal-Perinatal Medicine)
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Obstetrics & Gynecology
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Obstetrics & Gynecology (Obstetrics)
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner (Family)
4199 GATEWAY BLVD
NEWBURGH, IN 47630

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 Leo Bonaventura's NPI number?

The NPI number for Leo Bonaventura is 1962419085. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Leo Bonaventura located?

Leo Bonaventura practices at 4199 Gateway Blvd Suite 2900, Newburgh, IN 47630. The listed phone number is (812) 842-4530.

What is Leo Bonaventura's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

When was this NPI record last updated?

The NPPES record for Leo Bonaventura was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.