Fredric L. Bonine, DDS, Ms, PC
NPI 1184980914ActiveOrganization· Preferred Provider Organization· Brighton, MI
Preferred Provider Organization in Brighton, Michigan, registered in NPPES in April 2012, part of Dr. Fredric L. Bonine, DDS, Ms, PC. The authorized official on file is Fredric L. Bonine, DDS, MS, PC, Sole Proprietor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184980914 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dr. Fredric L. Bonine, DDS, Ms, PC |
| NPI issued | Apr 5, 2012 |
| Last updated in NPPES | May 22, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 2901012106 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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