IndividualActive
Jacob Bonner
NPI 1104588789 · Peer Specialist · Cleveland, OH
Jacob Bonner is a Peer Specialist provider in Cleveland, OH (NPI 1104588789).
Provider details
- NPI number
- 1104588789
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Peer Specialist175T00000X
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13377 Smith Rd
Cleveland, OH 44130-7810
Phone: (440) 340-5558
Fax: (440) 340-5575
Approximate (ZIP-level) locationGet directions
Mailing address
13377 Smith Rd
Cleveland, OH 44130-7810
Registry dates
- Enumerated
- 2021-10-11
- Last updated
- 2021-10-11
- Certified
- 2021-10-11
Frequently asked questions
- What is Jacob Bonner's NPI number?
- Jacob Bonner's National Provider Identifier (NPI) is 1104588789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Bonner's specialty?
- Jacob Bonner is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Jacob Bonner located?
- Jacob Bonner's practice location on file with NPPES is 13377 Smith Rd, Cleveland, OH 44130-7810.
- What is Jacob Bonner's phone number?
- The practice phone number listed in the NPPES registry for Jacob Bonner is (440) 340-5558.
- Is Jacob Bonner's NPI active?
- Yes — Jacob Bonner's NPI (1104588789) is active in the NPPES registry as of the last update on 2021-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.