DANIEL L. BONIFACIO D.O. – NPI #1033104880
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

DANIEL BONIFACIO is a physician located in TRAVERSE CITY, MI. NPPES has assigned the NPI number 1033104880 to DANIEL BONIFACIO on September 19, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DANIEL BONIFACIO below.

NPI Profile for
DANIEL L. BONIFACIO

NPI Number
1033104880
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DANIEL L. BONIFACIO
Credentials
D.O.
Primary location
1200 SIXTH ST
SUITE 200
TRAVERSE CITY, MI 49684-2369
Phone: (231) 935-5800 Fax: (231) 935-5799
Mailing address
2891 MOMENTUM PL
CHICAGO, IL 60689-5328
Phone: (231) 935-6080 Fax: (231) 935-6081
Sole Proprietor
No
Updated
Identifiers

Identifiers for DANIEL BONIFACIO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI4204742
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
MI 5101011505

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.