Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wayne R. Bonlie, MD, PA

Organization Primary Care Clinic/Center · NPI 1881052454

Wayne R. Bonlie, MD, PA is a Primary Care Clinic/Center in Timonium, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 E Padonia Rd Ste 305
Timonium, MD 21093-2345
Phone: (410) 560-7404
Fax: (443) 588-1725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence D0062606 (MD)

Record details

NPI number1881052454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Bonlie — President · (410) 560-7404
NPI enumeratedFebruary 10, 2016
Last updated in NPPESJune 30, 2016
Mailing address30 E Padonia Rd, Suite 305, Timonium, MD 21093-2345

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