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

Individual provider Diagnostic Radiology Physician · NPI 1790738250

George J Bonnevie III, MD is a Diagnostic Radiology in Brockton, Massachusetts. Graduated from Boston University School of Medicine in 1997, 29 years ago. Practices with Signature Healthcare Medical Group Inc, a 248-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
29
Trained at
Boston University School of Medicine
Licensed in
MA
In the registry since
2006
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

680 Centre St Radiology Dept
Brockton, MA 02302-3308
Phone: (508) 941-7150
Fax: (508) 941-6104
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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 217144 (MA)

Record details

NPI number1790738250
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESOctober 2, 2012

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Signature Healthcare Medical Group Inc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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