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

Dr. Timothy Alan Bonsack, MD

Individual provider Specialist · NPI 1710952155

Dr. Timothy Alan Bonsack, MD is a Diagnostic Radiology in Tampa, Florida. Graduated from Emory University School of Medicine in 1983, 43 years ago. Practices with St Josephs Diagnostic Center LLC, a 90-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
43
Trained at
Emory University School of Medicine
Licensed in
FL
In the registry since
2006
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

4516 N Armenia Ave
Tampa, FL 33603-2732
Phone: (813) 348-6951
Fax: (813) 348-6999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME68441 (FL)
Specialist Taxonomy 174400000X · Licence ME68441 (FL)

Record details

NPI number1710952155
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESApril 1, 2010
Mailing addressPo Box 403444, Atlanta, GA 30384-3444

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice St Josephs Diagnostic Center Llc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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