Dr. Mack Stuart Bonner Jr., MD
Dr. Mack Stuart Bonner Jr. is a General Practice Physician provider (General Practice) practicing in Tryon, NC, registered in the NPPES registry with NPI 1407857501 since 2005. The credential MD stands for Doctor of Medicine. Practices at Integrative Medical Associates, Pllc (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1407857501 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Mack Stuart Bonner Jr. |
| Credential | MD |
| Sex | Male |
| Practice address | Tryon, NC, 28782 |
| Phone | 8288590420 |
| Fax | 8288590422 |
| Enumeration date | 2005-08-10 |
| Last updated in NPPES | 2010-03-15 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Primary | 27125 | NC |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Mack Bonner, MD NPI: 1407857501 Taxonomy: 208D00000X (General Practice Physician) Address: Tryon, NC, 28782
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346315959 | Connie Ross | Individual | General Practice Physician | Tryon, NC |
| 1578783239 | Integrative Medical Associates, Pllc | Organization | Adult Medicine Physician | Tryon, NC |
Verify this record
Cross-check NPI 1407857501 against the authoritative CMS record: view Dr. Mack Stuart Bonner Jr. on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Where does Mack Bonner practice?
What is the NPI number for Mack Bonner?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-03-15.