Individual Healthcare Provider
Brookana Koreen Bonezzi, CPNP-PC, PMHNP-BC
Provider's NPPES record last updated: July 21, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1225462641
- Primary Specialty
- Nurse Practitioner — Pediatrics
- Practice Location
- Mason, Ohio
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 5:04 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Pediatrics
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0200X Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X
Provider-Reported License Information
- Nurse Practitioner (Ohio)
- COA.15039-NP
- Nurse Practitioner (Ohio)
- CNP.15039
Practice Locations
Practice Location
4075 Old Western Row Rd
Mason, Ohio 45040-3104
Phone: (513) 536-4673
Additional Practice Location
3333 Burnet Ave
Ml 7017
Cincinnati, Ohio 45229-3026
Phone: (513) 636-4578
Fax: (513) 636-7039
Additional Practice Location
446 Morgan St
Cincinnati, Ohio 45206-2348
Phone: (513) 834-7063
Fax: (513) 873-1567
Additional Practice Location
3591 Reserve Commons Dr Ste 100
Medina, Ohio 44256-5334
Phone: (216) 450-1613
Fax: (216) 450-1614
Record Information
- Enumeration Date
- August 22, 2013
- Provider's NPPES Record Last Updated
- July 21, 2022
- Certification Date
- June 22, 2021
- NPISignal NPPES Dataset
- August 2026
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