Active NPI
Bonnie Dupper Gifford, M.D.
- Internal Medicine Physician
- Renick, WV
National Provider Identifier
1285828673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.045288
- Practice address
- 697 Panther Camp Creek Road
HC 67 Box 550B
Renick, WV 24966 - Phone
- (304) 497-0561
- NPI assigned
- Aug 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.045288 | OH | Primary |
Addresses
Primary practice location
697 Panther Camp Creek Road
HC 67 Box 550B
Renick, WV 24966
Mailing address
697 Panther Camp Creek Road
HC 67 Box 550B
Renick, WV 24966
Phone (304) 497-0561
Other names 1
- Dr. Bonnie Dupper Golden
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 |
|---|---|---|---|
| 35.045288 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Emergency Physicians PLLC | Past | Accepting new patients | |
| Wythville Management Consultants LLC, | 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 and National Provider Directory roles.
-
- Specialist
- Lewisburg, WV
- NPI 1598756207
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1457301756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1285828673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "697 PANTHER CAMP CREEK ROAD",
"address_2": "HC 67 BOX 550B",
"city": "RENICK",
"state": "WV",
"postal_code": "24966",
"telephone_number": "304-497-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "697 PANTHER CAMP CREEK ROAD",
"address_2": "HC 67 BOX 550B",
"city": "RENICK",
"state": "WV",
"postal_code": "24966",
"telephone_number": "304-497-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "BONNIE",
"middle_name": "DUPPER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.045288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BONNIE",
"last_name": "GOLDEN",
"middle_name": "DUPPER",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Renick, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.