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

Jason Bonfiglio, PA

Individual provider Physician Assistant · NPI 1134726433

Jason Bonfiglio, PA is a Physician Assistant in Waupaca, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

800 Riverside Dr
Waupaca, WI 54981-1943
Phone: (715) 258-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1134726433
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023
Mailing address405 Bishops Way Unit 629, Brookfield, WI 53005-6261

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