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Jack Bonner, M.D.
NPI 1336199751 · Psychiatry Physician · Greenville, SC
Jack Bonner, M.D. is a Psychiatry Physician provider in Greenville, SC (NPI 1336199751).
Provider details
- NPI number
- 1336199751
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 17455 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
701 Grove Rd
Greenville, SC 29605-5611
Phone: (864) 455-8431
Street-level locationGet directions
Mailing address
7 Independence PT
Greenville, SC 29615-4566
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2009-12-28
Frequently asked questions
- What is Jack Bonner's NPI number?
- Jack Bonner's National Provider Identifier (NPI) is 1336199751, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Bonner's specialty?
- Jack Bonner is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Bonner located?
- Jack Bonner's practice location on file with NPPES is 701 Grove Rd, Greenville, SC 29605-5611.
- What is Jack Bonner's phone number?
- The practice phone number listed in the NPPES registry for Jack Bonner is (864) 455-8431.
- Is Jack Bonner's NPI active?
- Yes — Jack Bonner's NPI (1336199751) is active in the NPPES registry as of the last update on 2009-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.