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

Individual provider Family Medicine Physician · NPI 1730523846

Ryan Bonek, MD is a Family Practice in Mishawaka, Indiana. Qualified in 2013, 13 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
13
Licensed in
IN
In the registry since
2013
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

4630 Vistula Rd
Mishawaka, IN 46544-4000
Phone: (574) 647-1900
Fax: (574) 647-7206
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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 01077161A (IN)

Record details

NPI number1730523846
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2013
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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