Physician Assistant
MACKENZIE BONNEWITZ PA-C
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 Plan acceptance stays unpublished until the practice reports it.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 1487438560 · enumerated 2023-08-21 · record updated 2026-01-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2530 N ELM PL, BROKEN ARROW, OK, 74012-1285 (918) 994-1402 Fax (918) 512-4806 Google Maps Apple Maps OpenStreetMap
- Practice location 2530 N ELM PL, BROKEN ARROW, OK, 74012-1285 (918) 994-1402 Fax (918) 512-4806 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary
In this directory
Locations and evidence
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Practice location
BROKEN ARROW, OK, 740121285
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.