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

Dr. Keith Anthony Bonacquisti, MD

Individual provider Otolaryngology Physician · NPI 1487773669

Dr. Keith Anthony Bonacquisti, MD is an Otolaryngology in Scottsbluff, Nebraska. Qualified in 1985, 41 years ago. Practices with Regional West Physicians Clinic, a 136-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama, Illinois, Missouri and North Dakota and 1 more.

Years since qualifying
41
Licensed in
AL, IL, MO, ND, NE
In the registry since
2007
Specialties on file
5
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

4021 Avenue B
Scottsbluff, NE 69361-4602
Phone: (308) 630-1885
Show map & directions

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

Additional practice locations (1)

  • 2055 E South Blvd Ste 908, Montgomery, AL 36116-2007 — (334) 747-2273

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 109503 (MO)
Otolaryngology Physician Taxonomy 207Y00000X · Licence CP1177 (NE)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 52438 (AL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 036127592 (IL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 24263 (ND)

Record details

NPI number1487773669
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Regional West Physicians Clinic — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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