NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Primary Care of Bonne Terre LLC

General Practice Physician in Bonne Terre, MO · enumerated 2015 · authorized official Andrew Ninichuck, Owner.

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

National Provider Identifier

1962883751

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Primary Care of Bonne Terre LLC
Other name <Unavail>
Practice address 527 Benham St, Bonne Terre, MO, 63628
Phone (573) 358-9119
Fax (573) 358-9489
Enumeration date Jun 17, 2015
Last updated in NPPES Nov 23, 2015

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Andrew Ninichuck
Title Owner
Phone (573) 358-9119

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 type of organization is Primary Care of Bonne Terre LLC?
Primary Care of Bonne Terre LLC is registered in NPPES as a General Practice Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-23.