BONO FAMILY MEDICAL CLINIC AND THERAPY SERVICES
NPI 1467829804
Nurse Practitioner - Family in Bono, AR

NPI Status: Active since September 01, 2015

Contact Information

9146 HIGHWAY 63 N
BONO, AR
ZIP 72416
Phone: (870) 930-9990
Fax: (870) 930-9992

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  • Organization
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • CLIA Number: 04D2010489
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 09-30-2026

About BONO FAMILY MEDICAL CLINIC AND THERAPY SERVICES

This page provides the complete NPI Profile along with additional information for Bono Family Medical Clinic And Therapy Services, a provider established in Bono, Arkansas operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1467829804 assigned on September 2015. The practitioner's primary taxonomy code is 363LF0000X with license number A003947 (AR). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Bono Family Medical Clinic And Therapy Services. The authorized official of this NPI record is Jeremy Bergman (Owner)

NPI
1467829804
Provider Legal Name
NEA RELIANT HEALTH CARE PROFESSIONALS INC
Other Organization Name
BONO FAMILY MEDICAL CLINIC AND THERAPY SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9146 HIGHWAY 63 N BONO, AR 72416
Location Phone
(870) 930-9990
Location Fax
(870) 930-9992
Mailing Address
9146 HIGHWAY 63 N BONO, AR 72416
Mailing Phone
(870) 930-9990
Mailing Fax
(870) 930-9992
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-01-2015
Last Update Date
12-28-2016
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A nurse practitioner (NP) like Bono Family Medical Clinic And Therapy Services is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
A003947
License State
AR

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEREMY BERGMAN

Authorized Official Title
OWNER
Authorized Official Phone
(870) 930-9990

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1083046445OTHER (01)ARNPI
200136758MEDICAID (05)AR 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D2010489
Facility Type
Practitioner Other
Certificate Effective Date
October 01, 2024
Certificate Expiration Date
September 30, 2026
Laboratory Director
JEFF ROBINS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bono Family Medical Clinic And Therapy Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BONO FAMILY MEDICAL CLINIC AND THERAPY SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467829804
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241271621880
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 6 + 2 + 1 + 8 + 8 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1467829804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174874366 KRISTY D. JOHNSON NP-C
Individual
Nurse Practitioner (Family)9146 HIGHWAY 63 N
BONO, AR 72416
(870) 930-9990
1235178963DR. GEORGE PATTON M.D.
Individual
Family Medicine9146 HIGHWAY 63 N
BONO, AR 72416
(870) 930-9990
1265794564 HEATHER LEANN GLOVER FNP-BC
Individual
Nurse Practitioner (Family)9146 HIGHWAY 63 N
BONO, AR 72416
(870) 930-9990
1083046445 JENNIFER D ROBINS NP
Individual
Nurse Practitioner9146 HIGHWAY 63 N
BONO, AR 72416
(870) 930-9990
1316193345MRS. STEPHANIE NICOLE DUFFEL APN
Individual
Nurse Practitioner9146 HIGHWAY 63 N
BONO, AR 72416
(870) 930-9990
1497261093MS. TIFFANY PAIGE HOLCOMB APRN, FNP-BC
Individual
Nurse Practitioner (Family)9146 HIGHWAY 63 N
BONO, AR 72416
(870) 930-9990
1265814529 NECOLE HUGHES FNP
Individual
Nurse Practitioner (Family)9146 HIGHWAY 63 N
BONO, AR 72416
(870) 930-9990

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467829804, enumerated in the NPI registry as an "organization" on September 01, 2015

The provider is located at 9146 Highway 63 N Bono, Ar 72416 and the phone number is (870) 930-9990

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 04D2010489 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 01, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.