OrganizationActive
Raphael Bonelle
NPI 1184079014 · Point of Service · Oklahoma City, OK
Provider details
- NPI number
- 1184079014
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Raphael Bonelle, Case Manager(405) 510-4108
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% 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
12201 Garden Ct
Oklahoma City, OK 73170-4006
Phone: (405) 510-4108
Street-level locationGet directions
Mailing address
12201 Garden Ct
Oklahoma City, OK 73170-4006
Registry dates
- Enumerated
- 2016-04-28
- Last updated
- 2016-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.