IndividualActive
Kevin Bonner, M.D.
NPI 1376572883 · Sports Medicine (Orthopaedic Surgery) Physician · Virginia Beach, VA
Provider details
- NPI number
- 1376572883
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101058724 (VA)
Practice location
5716 Cleveland St
Suite 200
Virginia Beach, VA 23462-1784
Phone: (757) 502-8570
Fax: (757) 961-9767
Mailing address
5716 Cleveland St
Virginia Beach, VA 23462-1784
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2023-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.