NPI 1003878794 · live from the CMS NPI Registry
Edward Vincent Bonyak, MD
Internal Medicine, Cardiovascular Disease in Kilmarnock, VA. National Provider Identifier 1003878794, active.
NPI record
| NPI | 1003878794 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 95 Harris Rd # Mob1, Kilmarnock, VA 22482 |
| Practice phone | 804-435-7735 |
| Mailing address | 2410 Atherholt Rd, Lynchburg, VA 24501 |
| Enumerated | April 6, 2006 |
| Last updated | April 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 20934 (WV) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 0101048188 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.