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John Joseph Bonacorsi, M.D.

NPI 1265541395ActiveIndividual· Specialist· Bridgeton, MO

Specialist (M.D.) in Bridgeton, Missouri, licensed in MO, with an NPI issued in August 2006.

Overview

NPI1265541395
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedAug 30, 2006
Last updated in NPPESSep 14, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XR5611MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Bridgeton

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