Bonnie Parker McTyre, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

192856 Issued in NC

Practice address

4515 Premier Drive
Ste 203
High Point, NC 27265-8356

Phone

(336) 802-2200

Fax

(336) 802-2201

NPI assigned

Dec 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Musc Affiliate PhysiciansGroup PAC ID 6305241027, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bonnie.mctyre@tribe513.eclinicaldirectplus.com

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.

• Musc Affiliate Physicians

  dba MUSC Affiliate Physicians Spec

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1700465648
  Medicare reassignment Care Compare group NPD
• Musc Affiliate Physicians

  dba MUSC Affiliate Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1548849482

  Pediatrics

  NPD
• Wake Forest Health Network LLC

  dba Atrium Health Wake Forest Baptist Pediatrics - Premier

  • Pediatrics Physician
  • High Point, NC
  • NPI 1346516895
  NPD (past)
• Wake Forest Health Network, LLC

  dba Atrium Health Levine Children's Pediatrics Northwest

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1053175299
  NPD (past)
• University Medical Associates

  dba MUSC Physicians

  • Pediatric Allergy/Immunology Physician
  • Charleston, SC
  • NPI 1902323504
  NPD (past)

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1134458441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 PREMIER DRIVE",
            "address_2": "STE 203",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658356",
            "telephone_number": "336-802-2200",
            "fax_number": "336-802-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 PREMIER DRIVE",
            "address_2": "STE 203",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658356",
            "telephone_number": "336-802-2200",
            "fax_number": "336-802-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTYRE",
        "first_name": "BONNIE",
        "middle_name": "PARKER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "192856",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel McMahon
• Wendi Howard McMillan, MED, CCC-SLP
• Kiara I McNair
• Herbert Lawrence McNeal Jr., DDS
• Douglas Brent McQuaid, MD
• Charlotte D. McVearry, P-LCSW
• Tammy J Meade, PT
• Christine M Mealey, RN
• Medbox LLC
• Rebecca Boone Medendorp, PT

• Pediatrics Physician in High Point, NC
• Providers in High Point, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.