Brian Bonomo, PAC

NPI: 1124012596

Brian Bonomo, PAC

Q: What is Brian Bonomo's NPI number?

Brian Bonomo's NPI number is 1124012596, a unique 10-digit identifier issued by CMS.

Q: What does Brian Bonomo specialize in?

Brian Bonomo specializes in Physician Assistant, taxonomy code 363A00000X.

Q: Where does Brian Bonomo practice?

Brian Bonomo practices in Lecanto, FL 34461-8399.

Q: When was Brian Bonomo's NPI issued?

Brian Bonomo's NPI was issued on August 31, 2005.

Q: What is Brian Bonomo's provider type?

Brian Bonomo is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderPhysician Assistant

NPI issued: August 31, 2005

Quick Facts

NPI Number

1124012596

TypeIndividual

StatusActive

SpecialtyPhysician Assistant

Taxonomy363A00000X — Physician Assistant

Phone

(352) 746-2200

StateFL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1124012596)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (August 31, 2005)

Data source: CMS NPPES

Provider Overview

BRIAN BONOMO, PAC is a Physician Assistant provider based in Lecanto, FL who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124012596

Provider TypeIndividual Provider

GenderMale

CredentialPAC

StatusActive

Enumeration DateAugust 31, 2005

Practice Location

CityLecanto

StateFL

ZIP Code34461-8399

Phone(352) 746-2200

Specialties & Licenses

★ Primary

SpecialtyPhysician Assistant

Taxonomy Code363A00000X

License StateFL

Mailing Address

CityLecanto

StateFL

ZIP Code34461-8399

Phone(352) 746-2200

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1124012596 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1124012596for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1124012596 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

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