Family Medicine
JOHN BONAVIA MD
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 Plan acceptance stays unpublished until the practice reports it.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 1497716880 · enumerated 2006-03-28 · record updated 2012-06-05. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI, 53212-1082 (414) 961-2750 Google Maps Apple Maps OpenStreetMap
- Practice location 1317 W GRAND AVE, PORT WASHINGTON, WI, 53074-2075 (262) 268-6998 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 23729 WI
In this directory
Locations and evidence
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Practice location
PORT WASHINGTON, WI, 530742075
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.