Individual provider Active NPI

Bonnie Lynn Burnquist, MD

  • Family Medicine Physician
  • Ocean View, DE
National Provider Identifier
1275525008
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10007200 Issued in DE
Practice address
118 Atlantic Ave
Suite201
Ocean View, DE 19970-9163
Phone
(302) 537-6110
Fax
(302) 537-4666
NPI assigned
Aug 18, 2005
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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 C10007200 DE Primary

Addresses

Primary practice location

118 Atlantic Ave
Suite201
Ocean View, DE 19970-9163

Mailing address

71 Omega Dr
Building D
Newark, DE 19713-2063
Phone (302) 283-3300

Other identifiers 1

IdentifierTypeStateIssuer
P00236460OtherDERAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2018 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10007200DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1275525008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 OMEGA DR",
            "address_2": "BUILDING D",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132063",
            "telephone_number": "302-283-3300",
            "fax_number": "302-283-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ATLANTIC AVE",
            "address_2": "SUITE201",
            "city": "OCEAN VIEW",
            "state": "DE",
            "postal_code": "199709163",
            "telephone_number": "302-537-6110",
            "fax_number": "302-537-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNQUIST",
        "first_name": "BONNIE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10007200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00236460",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean View, DE

Sources for this page

Verify at the official NPI Registry.