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

Bonny Bautista, MD

Individual provider Family Medicine Physician · NPI 1245807783

Bonny Bautista, MD is a Family Practice in Johnstown, Pennsylvania. Qualified in 2005, 21 years ago. Practices with Dlp Conemaugh Physician Practices LLC, a 284-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
21
Licensed in
PA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1086 Franklin St
Johnstown, PA 15905-4305
Phone: (814) 534-9106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MT223403 (PA)

Record details

NPI number1245807783
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2021
Last updated in NPPESJune 4, 2021
Certification dateJune 4, 2021
Mailing address1086 Franklin St, Johnstown, PA 15905-4305

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Dlp Conemaugh Physician Practices Llc — 284 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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