Individual
MR. PATRICK CORKREAN BONASSO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
26258
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164765830
—
WV
05
—
229327700
—
MD
Enumeration date
04/01/2013
Last updated
12/10/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up