MEDICARE: EUGENE A BONAROTI MD FAC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1154972974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUGENE A BONAROTI MD FAC LLC

Provider Business Mailing Address
First Line	:	2790 MOSSIDE BLVD STE 700
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2761
Country	:	US
Telephone Number	:	412-275-0227
Fax Number	:	412-291-2111

Provider Business Practice Location Address
First Line	:	2790 MOSSIDE BLVD STE 700
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2761
Country	:	US
Telephone Number	:	412-275-0227
Fax Number	:	412-291-2111

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EUGENE A BONAROTI
Credential	:
Telephone Number	:	412-275-0227

Provider Enumeration Date	:	09/23/2019
Last Update Date	:	04/16/2026

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