P Praxis·MD
● Active Type 1 · Individual

Robert Ellis Bonham, M.D.

Otolaryngology·Dallas, TX· NPI 1649264359 · Enumerated 2005 · 20 years on NPI
Bonham is 1 of 64 otolaryngology providers in Dallas and 1 of 1024 in Texas.
NPI age
20 years
Enumerated 2005-09-08
Primary specialty
Otolaryngology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-11-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1024 active otolaryngology providers in Texas.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
4104 Junius St.
Dallas, TX 75246
📞 2147422194fax 2148270162
Mailing address
4104 Junius St.
Dallas, TX 75246
📞 2147422194fax 2148270162

Specialties

  • Otolaryngology Primary
    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
    TX license #D3155 taxonomy 207Y00000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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