Active NPI
Michael R Bohnsack, MD
- Anesthesiology Physician
- Albemarle, NC
National Provider Identifier
1144276502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 28002
- Practice address
- 301 Yadkin St
Albemarle, NC 28001-3441 - Phone
- (704) 984-4186
- Fax
- (704) 983-6624
- NPI assigned
- May 26, 2006
- Last updated
- May 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 28002 | NC | |
| Anesthesiology Physician | 207L00000X | 24467 | WI | |
| Anesthesiology Physician | 207L00000X | 28002 | NC | Primary |
Addresses
Primary practice location
301 Yadkin St
Albemarle, NC 28001-3441
Mailing address
PO Box 2119
Albemarle, NC 28002-2119
Phone (704) 982-1239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8916434 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24467 | WI | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1144276502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2119",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280022119",
"telephone_number": "704-982-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 YADKIN ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013441",
"telephone_number": "704-984-4186",
"fax_number": "704-983-6624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHNSACK",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "28002",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "24467",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "28002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8916434",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albemarle, NC
- Katelyn Cohen Billingsley, PA-C
- Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care Albemarle)
- Barbara Price Blalock, PT
- Ashley Bliss, PA-C
- Blue Heron Counseling and Consulting PLLC
- Bowden Therapy and Wellness at Alliance LLC
- Carlene Bowden
- Jerry Lee Bowman, M.D.
- Hannah Hill Boyer
- Carson Shae Bradshaw, MA, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.