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

Jeremy Bonzo, MD

Individual provider Urology Physician · NPI 1447511332

Jeremy Bonzo, MD is an Urology in Ashland, Kentucky. Graduated from University of Kentucky College of Medicine in 2012, 14 years ago. Practices with Kings Daughters Medical Specialties Inc, a 387-clinician group and accepts Medicare assignment. Licensed in Kentucky and Pennsylvania.

Years since qualifying
14
Trained at
University of Kentucky College of Medicine
Licensed in
KY, PA
In the registry since
2012
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

336 29th St Ste 101
Ashland, KY 41101-1976
Phone: (606) 324-4404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 50642 (KY)
Urology Physician Taxonomy 208800000X · Licence MT202082 (PA)

Record details

NPI number1447511332
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2012
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Kings Daughters Medical Specialties Inc — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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