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

Dr. Bevan P Bonhomme, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1598386468

Dr. Bevan P Bonhomme, MD is a Student in an Organized Health Care Education/Training Program in Willimantic, Connecticut. Practices as a sole proprietor. Licensed in Connecticut and North Carolina.

Licensed in
CT, NC
In the registry since
2020
Specialties on file
2
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

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone: (860) 609-9929
Fax: (919) 966-3049
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 76463 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 260786 (NC)

Record details

NPI number1598386468
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 2, 2020
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

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