Individual
EDWARD VINCENT BONYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 HARRIS RD # MOB1, KILMARNOCK, VA 22482-3845
(804) 435-7735
Mailing address
2410 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 200-5252
(434) 200-5252
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101048188
VA
207RC0000X
Cardiovascular Disease Physician
20934
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000486018
WV BLUE SHIELD
—
01
—
000875693
WV BLUE SHIELD - GROUP #
—
05
—
006051120
—
VA
05
—
0086502000
—
WV
01
—
08251100000
QUALCHOICE
—
01
—
211032
ANTHEM PROFESSIONAL
—
01
—
2119629
MAMSI PROFESSIONAL
—
01
—
3810003817
WV MEDICAID GROUP
WV
01
—
43935
SENTARA PROFESSIONAL
—
01
—
550941600
MD MEDICAID GRP IN VA
MD
01
—
9332051
WV MEDICARE GRP OLD
WV
01
—
9371521
WV MEDICARE B - GROUP #
WV
01
—
C00085
VA MEDICARE B - GROUP #
—
01
—
P00656327
RAILROAD MEDICARE
—
Enumeration date
04/06/2006
Last updated
04/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us