DR. DAVID EDWARD BONNIN (MD) – Internal Medicine Physician, NPI 1770143067
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,186 INTERNAL MEDICINE in MO
Provider Addresses for DR. DAVID EDWARD BONNIN (MD)
South Euclid Avenue, WashU, City of Saint Louis, Missouri, 63110, United States
SAINT LOUIS, MO 631101010
Phone:
Type: Mailing
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 631101003
Phone: (314) 482-0709
Type: Location
655 Watkins Mill Rd Fl 5
Gaithersburg, MD 208793301
Phone: (240) 813-8740
Type: Location
655 WATKINS MILL RD FL 5
GAITHERSBURG, MD 208793301
Phone: (240) 813-8740
Type: Location
D.D. EISENHOWER ARMY MEDICAL CENTER
300 E. HOSPITAL ROAD
FORT EISENHOWER, GA 30805
Phone: (706) 787-6945
Fax: (706) 787-0304
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250710000119 | I | Internal Medicine | VA | TBD |
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.
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 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Pain Management | VA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Family Practice | GA | |
| Orthopedic Surgery | WV | |
| N E U R O S U R G E R Y | GA | |
| Nurse Practitioner | GA |
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