MR. BRENT JAMES BONFIGLIO (NPI# 1124493812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124493812 |
| Entity Type | Individual |
| Full Name | MR. BRENT JAMES BONFIGLIO |
| Credential | RN |
| Practice Address |
3550 Main St Springfield MA 01107-1089 |
| Practice Telephone | 4138587400 |
| Practice Fax Number | 4137460380 |
| Mailing Telephone | 4138587400 |
| Mailing Fax Number | 4137460380 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN2288861 | MA | Nursing Service Providers |
| Street Address |
3550 MAIN ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430375 | Hani N Haddad | Obstetrics & Gynecology | 3550 Main St, Suite 302, Springfield, MA 01107-1089 | 2005-07-12 |
| 1740675263 | Nicole Thompson | Obstetrics & Gynecology | 3550 Main St, Springfield, MA 01107-1089 | 2015-04-01 |
| 1538598834 | Jennifer Suzanne Heinemann | Clinical Nurse Specialist | 3550 Main St, Suite 101, Springfield, MA 01107-1089 | 2013-11-06 |
| 1154767978 | Rapy Cabral | Physical Therapist | 3550 Main St, Suite 102, Springfield, MA 01107-1089 | 2013-05-20 |
| 1205194842 | Luis M Amaral | Physical Therapist | 3550 Main St, Springfield, MA 01107-1089 | 2012-05-02 |
| 1033495882 | Sara M Strzempek | Physical Therapist | 3550 Main St, Suite 102, Springfield, MA 01107-1089 | 2011-10-25 |
| 1023324894 | Maureen Mckenna | Nurse Practitioner | 3550 Main St, Springfield, MA 01107-1089 | 2010-08-31 |
| 1245484641 | Maria A Quinn | Registered Nurse | 3550 Main St, Suite 101, Springfield, MA 01107-1089 | 2008-11-12 |
| 1891976353 | Joanna Varadi | Midwife | 3550 Main St, Suite 201, Springfield, MA 01107-1089 | 2007-11-26 |
| 1881893857 | Katherine A Chase | Physical Therapist | 3550 Main St, Suite 102, Springfield, MA 01107-1089 | 2007-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204487 | Emmanuel Yaw Tete-donkor | Registered Nurse | 155 Naismith St, Springfield, MA 01104-3768 | 2020-04-22 |
| 1407289424 | Eugenia Owens | Registered Nurse | 635 Damascus Ave, Springfield, OH 45506-3001 | 2013-08-13 |
| 1174020457 | Lea Leconte | Registered Nurse | 417 Liberty St, Springfield, MA 01104-3736 | 2018-04-12 |
| 1427599950 | Cheryl Lynn Hamilton | Registered Nurse | 1301 S Yellow Springs St, Springfield, OH 45506-2542 | 2017-03-16 |
| 1225339658 | Maria Spiritosanto | Registered Nurse | 6501 Loisdale Court, Springfield, VA 22150-1885 | 2010-11-17 |
| 1023319480 | Andrea J White | Registered Nurse | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2010-11-16 |
| 1396985529 | Susan Tibbitts-hernandez | Registered Nurse | 3377 Riverbend Dr, Prenatal Clinic, Springfield, OR 97477-8800 | 2009-02-27 |
| 1508997289 | Geraldine Ann Chandler | Registered Nurse | 235 Chestnut St, Springfield, MA 01103-1100 | 2007-03-07 |
| 1326178062 | Commonwealth Clinical Alliance | Registered Nurse | 380 Plainfield St, Springfield, MA 01107-1524 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369698 | Keely Clark-mills | Registered Nurse | 335 Hillberg Ave, Brockton, MA 02301-6364 | 2020-09-04 |
| 1982218756 | Tonia Leigh Filgerleski | Registered Nurse | 21 Harmony Trl, Hopedale, MA 01747-1432 | 2020-08-31 |
| 1649883596 | Jason Macbeth Pendergast | Registered Nurse | 439 S Union St Unit 403, Lawrence, MA 01843-2837 | 2020-08-28 |
| 1891306239 | K Stefanie Reis | Registered Nurse | 19 Magoun Ave Fl 1, Medford, MA 02155-4853 | 2020-08-10 |
| 1801418470 | Amy Lyn Azevedo | Registered Nurse | 5 Swan Pond Rd, North Reading, MA 01864-2931 | 2020-05-17 |
| 1942839618 | Wendy Jazmin Monegro Mercedes | Registered Nurse | 1 Westinghouse Plz Unit C333, Boston, MA 02136-2290 | 2020-04-05 |
| 1811522998 | Bernard Njoroge | Registered Nurse | 30 Pomeworth St Apt 21, Stoneham, MA 02180-1243 | 2020-03-09 |
| 1043859903 | Sylvia Ndagire | Registered Nurse | 24 Brentwood St, Malden, MA 02148-4704 | 2019-12-24 |
| 1275190795 | Nougye J Mutungi Mukoma | Registered Nurse | 89 Patricia Ln, Dracut, MA 01826-1225 | 2019-05-20 |
| 1588133417 | Margaret Christine Saliba | Registered Nurse | 11 Safford St, Braintree, MA 02184-5402 | 2018-11-20 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on MR. BRENT JAMES BONFIGLIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.