Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jacob Bonilla

Individual provider Medical Physician Assistant · NPI 1417300096

Jacob Bonilla is a Physician Assistant in Douglas, Arizona. Qualified in 2011, 15 years ago. Practices with Benson Hospital Corporation, a 19-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2016
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Practice location Address checks out

1608 S Kings Hwy
Douglas, AZ 85607
Phone: (520) 805-8162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2817 Reilly St, Fort Bragg, NC 28310-8922 — (910) 907-8922

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1417300096
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 19, 2016
Last updated in NPPESMarch 21, 2022
Certification dateMarch 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Benson Hospital Corporation — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $410 11 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Benson Hospital Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 19 clinicians in the practice; 12 are shown here.