BONNIE G. LANDRUM MD – NPI #1417961319
Pediatrics

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

BONNIE LANDRUM is a physician located in MAPLE GROVE, MN. NPPES has assigned the NPI number 1417961319 to BONNIE LANDRUM on July 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine

The NPI profile was previously updated about 7 years ago on Jan 17, 2019. 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 BONNIE LANDRUM below.

NPI Profile for
BONNIE G. LANDRUM

NPI Number
1417961319
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
BONNIE G. LANDRUM
Credentials
MD
Primary location
9325 UPLAND LANE N
SUITE 360
MAPLE GROVE, MN 55369
Phone: (612) 813-6475 Fax: (612) 813-6983
Mailing address
Same as primary location
Sole Proprietor
No
Updated
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
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine (Primary)
MN 27901

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.