DR. JOSHUA LEITCH BONKOWSKY MD PHD NPI 1578518155

NPI Information

  • NPI: 1578518155
  • Provider Name: DR. JOSHUA LEITCH BONKOWSKY, MD, PHD
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 N MEDICAL DR
    SALT LAKE CITY, UT
    ZIP 84113
  • Phone: (801) 662-1000

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NPI Details

DR. Joshua Leitch Bonkowsky, MD, PHD is a neurology with special qualifications in child neurology psychiatry neurology in Salt Lake City, UT with 25 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Joshua Leitch Bonkowsky, MD, PHD NPI is 1578518155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-1000

The NPI 1578518155 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 10/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics4979065-1205UTAHNo
22084N0400XPsychiatry & NeurologyNeurology4979065-1205UTAHNo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology4979065-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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