WYNDHAM ALEXANDER BONETT (MD) – Interventional Pain Medicine Physician, NPI 1609338748

WYNDHAM ALEXANDER BONETT (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MD.41341 (AL). The NPI Number for WYNDHAM ALEXANDER BONETT (MD) is 1609338748

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
WYNDHAM ALEXANDER BONETT (MD)
NPI
1609338748
Phone
Not provided
Address
625 19TH ST S
Enumeration Date
5 April 2019
Last Update Date
30 October 2024

Doctor Profile

Medical School Name
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4236488480
Graduation Year
2019 (7 years ago)
PAC ID
6709119274
Group Practice PAC ID
0143132522
Professional Enrollment ID
I20240815000161
Address ID
TN374211690CH2000XDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:7State licenses:2Digital endpointsOther names

132 PAIN MANAGEMENT in AL

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Provider Addresses for WYNDHAM ALEXANDER BONETT (MD)

  • 625, 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352331900

    Phone:

    Type: Mailing

  • PO BOX 197517

    NASHVILLE, TN 372197517

    Phone: (423) 648-8480

    Fax: (423) 648-8481

    Type: Mailing

  • 135 N MEADOWS DR STE C

    ATHENS, TN 373034172

    Phone: (423) 648-8480

    Fax: (423) 648-8481

    Type: Location

  • 2000 Stein Dr

    Chattanooga, TN 374211690

    Phone: (423) 648-8480

    Fax: (423) 648-8481

    Type: Location

  • 980 Highway 28 Ste 101

    Jasper, TN 373473696

    Phone: (423) 648-8480

    Fax: (423) 648-8481

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $3,670.

Total Amount is formed as General ($3,670) + Research ($0) + Ownership ($0) = $3,670.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Abbott Laboratories ($1,594).

Total Amount

$3,670

General + Research + Ownership

Payments

59

Total payment records

General Amount

$3,670

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230929003469IAnesthesiologyALTBD
I20240815000161IPain ManagementTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143132522View full group profile
NameSpecialtyState
Nurse PractitionerTN
Physician AssistantMD
-TN
Nurse PractitionerTN
-TN
Pain ManagementOH
A N E S T H E S I O L O G YTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I use this page to confirm WYNDHAM ALEXANDER BONETT (MD)'s NPI?
Yes. WYNDHAM ALEXANDER BONETT (MD) is listed with NPI 1609338748 in the public NPI dataset.
Can I rely on WYNDHAM ALEXANDER BONETT (MD) being an active provider?
As of the registry snapshot, WYNDHAM ALEXANDER BONETT (MD) is marked active.
What is WYNDHAM ALEXANDER BONETT (MD) best known for clinically?
Directory data describes WYNDHAM ALEXANDER BONETT (MD) with Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for WYNDHAM ALEXANDER BONETT (MD)?
WYNDHAM ALEXANDER BONETT (MD)'s geographic hint is Birmingham, Alabama in our summary view.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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