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

David Bradley Bonham Jr., CNP

Individual provider Family Nurse Practitioner · NPI 1003650607

David Bradley Bonham Jr., CNP is a Nurse Practitioner in Port Arthur, Texas. Qualified in 2024, 2 years ago. Practices with Mid County Medical Group PA, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

2501 Jimmy Johnson Blvd Ste 110
Port Arthur, TX 77640-2011
Phone: (409) 344-4466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1167246 (TX)

Record details

NPI number1003650607
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address8849 Pinewood Dr Apt 8203, Port Arthur, TX 77640-1185

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mid County Medical Group Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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