Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Miss Bonnie Beth Wickham, PA

Physician Assistant in Bend, OR · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225058902

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Registry record

Entity type Individual (Type 1)

Name Miss Bonnie Beth Wickham

Credential PA

Sex Female

Practice address 61250 Se Coombs Pl, Bend, OR, 97702

Phone (541) 706-5930

Fax (541) 706-5931

Enumeration date Jul 19, 2006

Last updated in NPPES Jun 4, 2026

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA04799 (TX) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Bonnie Wickham?

Bonnie Wickham is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Sean Suttle Physician Assistant · Bend, OR NPI 1740287457 Michael Melton Family Medicine Physician · Bend, OR NPI 1609850775 Michelle Wright Family Nurse Practitioner · Bend, OR NPI 1841277480 Albert Lilly Emergency Medicine Physician · Bend, OR NPI 1285677955 Thomas Allumbaugh Family Medicine Physician · Bend, OR NPI 1114959210 Fredric Tietz Emergency Medicine Physician · Bend, OR NPI 1467486829 Ricci Pardini Emergency Medicine Physician · Bend, OR NPI 1487767158 Omar Garza Nurse Practitioner · Bend, OR NPI 1467569731

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-04.