Individual
MR. BARTHOLOMEW J BONAZINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.C.
Contact information
Practice address
12 COMMONS ST, RUTLAND, VT 05701
(802) 747-3600
(802) 773-8501
Mailing address
12 COMMONS ST, RUTLAND, VT 05701-4651
(802) 747-3600
(802) 773-8501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
042-0006395
VT
207RC0000X
Cardiovascular Disease Physician
Primary
042-0006395
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00005223
BCBS
VT
05
—
0009657
—
VT
01
—
926404
MVP
VT
01
—
INTE00048942
BCBS
VT
Enumeration date
11/22/2006
Last updated
01/16/2019
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