Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Abram Richard Bonneville, PA-S

Individual provider Physician Assistant · NPI 1003590027

Abram Richard Bonneville, PA-S is a Physician Assistant in Manitowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
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Practice location Address checks out

1409 Hazelwood Dr
Manitowoc, WI 54220-1607
Phone: (608) 843-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7426 (WI)

Record details

NPI number1003590027
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESJuly 28, 2023
Certification dateJuly 26, 2023

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients122
Services billed 159 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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