Active NPI
Bonnie Lynn Burnquist, MD
- Family Medicine Physician
- Ocean View, DE
National Provider Identifier
1275525008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C10007200
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00236460 | Other | DE | RAILROAD |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C10007200 | DE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Ocean View, DE
- NPI 1811177041
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.