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

Anthony J Bonitatibus, MD

Individual provider Allergy & Immunology Physician · NPI 1689606477

Anthony J Bonitatibus, MD is an Allergy/Immunology in Fairbanks, Alaska. Graduated from Medical College of Georgia School of Medicine in 1998, 28 years ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group and accepts Medicare assignment. Licensed in Alaska, Georgia and Minnesota.

Years since qualifying
28
Trained at
Medical College of Georgia School of Medicine
Licensed in
AK, GA, MN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1001 Noble St Ste 1
Fairbanks, AK 99701-4991
Phone: (907) 458-2635
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 166113 (AK)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 51624 (GA)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 45670 (MN)

Record details

NPI number1689606477
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount