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

Matthew Bonavita, MD

Individual provider General Practice Physician · NPI 1215613658

Matthew Bonavita, MD is a General Practice Physician in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2023.

Licensed in
SC
In the registry since
2023
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

169 Ashley Ave Rm 202
Charleston, SC 29425-8905
Phone: (843) 876-7080
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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 LL90327 (SC)
General Practice Physician Taxonomy 208D00000X · Licence 90327 (SC)

Record details

NPI number1215613658
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

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