Individual
BRETT J BONYNGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8840 CALUMET AVE STE 103, MUNSTER, IN 46321-2546
(219) 836-7246
Mailing address
8840 CALUMET AVE STE 103, MUNSTER, IN 46321-2546
(219) 836-7246
(219) 836-6454
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036166967
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
01096531A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2020
Last updated
07/23/2025
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