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

Robert Blaney Bonanno, MD

Individual provider Family Medicine Physician · NPI 1538511407

Robert Blaney Bonanno, MD is registered under Family Practice in Greenville, South Carolina. Graduated from University of South Carolina School of Medicine in 2016, 10 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Trained at
University of South Carolina School of Medicine
Licensed in
SC
In the registry since
2016
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

877 W Faris Rd
Greenville, SC 29605-4289
Phone: (864) 455-7800
Fax: (864) 455-9082
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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 39827 (SC)

Record details

NPI number1538511407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 5, 2016
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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