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

Dr. John Paul Bonvillian, DPM

Individual provider Podiatrist · NPI 1336677046

Dr. John Paul Bonvillian, DPM is a Podiatry in Winston Salem, North Carolina. Graduated from William M. Scholl College of Podiatric Medicine in 2017, 9 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and North Carolina.

Years since qualifying
9
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
IN, NC
In the registry since
2017
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-3202
Show map & directions

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

Additional practice locations (2)

  • Major Hospital, Shelbyville, IN 46176 — (317) 392-5855
  • 1 Medical Center Blvd Department Of Orthopaedic Surgery, Winston Salem, NC 27157 — (336) 716-3448

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 707 (NC)
Podiatrist Taxonomy 213E00000X · Licence 07001329A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336677046
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 24, 2017
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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