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

John P Bonavia, MD

Individual provider Family Medicine Physician · NPI 1497716880

John P Bonavia, MD is a Family Medicine Physician in Port Washington, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
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

1317 W Grand Ave
Port Washington, WI 53074-2075
Phone: (262) 268-6998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 23729 (WI)

Record details

NPI number1497716880
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESJune 5, 2012
Mailing address4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing, Glendale, WI 53212-1082

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