NPIMap

Individual provider Active NPI

Bonnie Neal Burnham, DO

  • Family Medicine Physician
  • Danville, VA
National Provider Identifier
1093036493
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116025928 Issued in VA
Practice address
201 S Main St
Suite 3200
Danville, VA 24541-2927
Phone
(434) 799-4488
NPI assigned
Jun 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116025928 VA Primary

Addresses

Primary practice location

201 S Main St
Suite 3200
Danville, VA 24541-2927

Mailing address

142 S Main St
Danville, VA 24541-2922
Phone (434) 799-3859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151202002329 VA Practitioner - Family Practice 7911207626 Reassigns benefits to 1 organization
I20200323002634 NC Practitioner - Family Practice 7911207626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carteret Medical Group LLCGroup PAC ID 5698947794, 65 clinicians

Practice addresses (Care Compare)

1165 Cedar Point Blvd
Suite H
Cedar Point, NC 28584-1030
Phone (252) 499-6850

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Morehead City, NC, CCN 347171
  • Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
  • Carteret Health Care Home Health and Hospice Home health agency, Morehead City, NC, CCN 347042
  • Carteret General Hospital Hospital, Morehead City, NC, CCN 340142
  • Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0116025928VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret County General Hospital Corporation CurrentSince Aug 2, 2023 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Teladoc Health Medical Group, P.a. Family Medicine Current Accepting new patients
Danville Physician Practices LLC CurrentSince Oct 1, 2015 Accepting new patients
Danville Physician Practices LLC Family Medicine CurrentSince Oct 1, 2015 Accepting new patients
Carteret Medical Group LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

1165 Cedar Point Blvd
Ste H
Cedar Point, NC 28584
Phone (252) 499-6850

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

201 S Main St
Ste 3200
Danville, VA 24541
Phone (434) 791-3009

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bonnieburnham@tdh.allscriptsdirect.net
  • Direct secure messaging: bonnie.burnham.1@15484.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1093036493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 S MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412922",
            "telephone_number": "434-799-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "address_2": "SUITE 3200",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412927",
            "telephone_number": "434-799-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "BONNIE",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-20",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116025928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.