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Provider Information for 1831150408

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MR. ERNST BONTEMPS MD

Gender: MALE

Individual NPI: 1831150408

Calendar   Last Updated:  2021-05-12
  Certification Date:  2021-05-12

Details

Name Value
NPI 1831150408
Enumeration Date 2006-03-31
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3001 EXECUTIVE DR STE 130
CLEARWATER, FL 33762-5323
United States

Phone: 727-349-0005 | Fax: 727-541-6558
View Map External Link
Primary Practice Address 7017 CENTRAL AVE
ST PETERSBURG, FL 33710
United States

Phone: 727-384-2016 | Fax: 727-343-3791
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other BCBS FL 09008
MEDICAID FL 264350200
Other WELLCARE FL N217005
Other RAILROAD MEDICARE 100016262
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RG0100X - Internal Medicine Gastroenterology FL ME83742