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

Tiffany Lee Bonafe, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215297833

Tiffany Lee Bonafe, DO is a Diagnostic Radiology in Greenville, North Carolina. Qualified in 2012, 14 years ago. Practices with Eastern Radiologists Inc, a 96-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2101 W Arlington Blvd Ste 210
Greenville, NC 27834-5758
Phone: (252) 931-7638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2018-00858 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215297833
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 17, 2012
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Eastern Radiologists Inc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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