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

Robert Ellis Bonham, MD

Individual provider Otolaryngology Physician · NPI 1649264359

Robert Ellis Bonham, MD is an Otolaryngology Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
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

4104 Junius St
Dallas, TX 75246
Phone: (214) 742-2194
Fax: (214) 827-0162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence D3155 (TX)

Record details

NPI number1649264359
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 8, 2005
Last updated in NPPESNovember 3, 2008
Mailing address4104 Junius St., Dallas, TX 75246

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