Dr Albert Henry Bonnema Jr, MD is a
Preventive Medicine - Clinical Informatics physician based in Miamisburg, Ohio. Dr Albert Henry Bonnema Jr is licensed to practice in Ohio (license number 35.067903) and his current practice location is 2110 Leiter Rd, Miamisburg, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 384-4847.
NPI number for Dr Albert Henry Bonnema Jr is 1255399051 and his current mailing address is 2171 Hunters Ridge Blvd, Beavercreek, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255399051.
Physician's Profile
Full Name | Dr Albert Henry Bonnema Jr |
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Gender | Male |
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Speciality | Preventive Medicine - Clinical Informatics |
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Location | 2110 Leiter Rd, Miamisburg, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255399051
- Provider Enumeration Date: 05/02/2006
- Last Update Date: 11/02/2021
Medical Identifiers
Medical identifiers for Dr Albert Henry Bonnema Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255399051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083C0008X | Preventive Medicine - Clinical Informatics | 35.067903 (Ohio) | Primary |
207Q00000X | Family Medicine | 35-06-7903-B (Ohio) | Secondary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 35.067903 (Ohio) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Albert Henry Bonnema Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Albert Henry Bonnema Jr, MD 2171 Hunters Ridge Blvd, Beavercreek, OH 45434-7088 Ph: (210) 722-7412 | Dr Albert Henry Bonnema Jr, MD 2110 Leiter Rd, Miamisburg, OH 45342-3598 Ph: (937) 384-4847 |
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