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

Otto Joseph Bonin Jr., NP

Individual provider Nurse Practitioner · NPI 1558368316

Otto Joseph Bonin Jr., NP is a Nurse Practitioner in Zachary, Louisiana. Graduated from University of South Alabama College of Medicine in 2004, 22 years ago. Practices with The Bonin Clinic LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
22
Trained at
University of South Alabama College of Medicine
Licensed in
LA
In the registry since
2005
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1215 Independence Blvd 1A
Zachary, LA 70791-7391
Phone: (225) 570-2010
Fax: (225) 570-8573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN085359 - AP04429 (LA)

Record details

NPI number1558368316
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice The Bonin Clinic Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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