IndividualActive
Adam Bonner, PA
NPI 1619218724 · Physician Assistant · Greeley, CO
Provider details
- NPI number
- 1619218724
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 0004117 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2101 16th St
Greeley, CO 80631-5116
Phone: (720) 390-0442
Approximate (ZIP-level) locationGet directions
Mailing address
1851 Lochmore Dr
Longmont, CO 80504-2364
Registry dates
- Enumerated
- 2013-03-14
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.