Physician Assistant
JACK BONHAM PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1396058608 · enumerated 2010-07-16 · record updated 2021-06-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1600 ALBANY ST, BEECH GROVE, IN, 46107-1541 (317) 802-3151 Fax (317) 870-0499 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 7112, DPT 31, INDIANAPOLIS, IN, 46207-7112 (317) 802-3151 Fax (317) 870-0499 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 10001193A IN
In this directory
Locations and evidence
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Practice location
BEECH GROVE, IN, 461071541
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.