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JEREMY BONILLA
NPI 1982576039
Student in an Organized Health Care Education/Training Program in Temple, TX

Active since September 18, 2025
1508 W AVENUE J, TEMPLE, TX 76504(254) 771-3374 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jeremy Bonilla NPPES

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

JEREMY BONILLA (NPI 1982576039) is an individual student in an organized health care education/training program in Temple, Texas, licensed in Texas (44728673) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1982576039
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMY BONILLA
Location Address1508 W AVENUE JTemple, TX 76504-5390
Mailing Address10910 Little Gap CtSugar Land, TX 77498-0946
Phone(254) 771-3374
Sole ProprietorNo
Enumeration DateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1982576039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · 44728673
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1508 W AVENUE J, Temple, TX 76504
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Other Providers at the Same Location NPPES 2

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

TEMPLE COMMUNITY CLINIC
Clinic/Center (Community Health)
1508 W AVENUE J
TEMPLE, TX 76504
Bell County (254) 771-3374
LIZETTE PEREZ RIVAS LCSW
Social Worker (Clinical)
1508 W AVENUE J
TEMPLE, TX 76504
Bell County (254) 771-3374

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 Jeremy Bonilla's NPI number?

The NPI number for Jeremy Bonilla is 1982576039. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Jeremy Bonilla located?

Jeremy Bonilla practices at 1508 W Avenue J, Temple, TX 76504. The listed phone number is (254) 771-3374.

What is Jeremy Bonilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeremy Bonilla was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.