NPIMap

Individual provider Active NPI

Antonio Carlos Bernaud Burnett, M.D.

  • Diagnostic Radiology Physician
  • Kent, OH
National Provider Identifier
1386677698
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35092187 Issued in OH
Practice address
1675 E Main St
Box 328
Kent, OH 44240-5818
Phone
(330) 593-1049
Fax
(330) 572-3836
NPI assigned
Jul 9, 2006
Last updated
Aug 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35092187 OH Primary
Diagnostic Radiology Physician 2085R0202X ME 65635 FL

Addresses

Primary practice location

1675 E Main St
Box 328
Kent, OH 44240-5818

Mailing address

1675 E Main St
Box 328
Kent, OH 44240-5818
Phone (330) 593-1049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031210000090 FL Practitioner - Diagnostic Radiology 0840196945 Reassigns benefits to 2 organizations
I20080930000403 OH Practitioner - Diagnostic Radiology 0840196945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 746-7211

6363 SW 87TH LN
Miami, FL 33156-1366
Phone (888) 522-4514

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 65635FLMDDiagnostic Radiology Physician
35092187OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Now Urgent Care, LLC CurrentSince Jan 15, 2023 Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology CurrentSince Mar 17, 2024 Accepting new patients
Radcare of Texas PLLC Diagnostic Radiology Past Accepting new patients
Penn Imaging Associates PC Diagnostic Radiology Past Accepting new patients
Ohio Imaging Centers Inc. Diagnostic Radiology Past Accepting new patients
Amarillo Radiology Associates LLP Diagnostic Radiology Past Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

7066 Fulton Dr NW
Canton, OH 44718
Phone (330) 363-8567

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

1909 Williamsburg Way NE
Louisville, OH 44641
Phone (234) 252-9181

2203 E Maple St
North Canton, OH 44720
Phone (330) 363-8580

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 305-6999

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Interoperability endpoints

  • Direct secure messaging: aburnett34903@direct.bsmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1386677698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 E MAIN ST",
            "address_2": "BOX 328",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442405818",
            "telephone_number": "330-593-1049",
            "fax_number": "330-572-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 E MAIN ST",
            "address_2": "BOX 328",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442405818",
            "telephone_number": "330-593-1049",
            "fax_number": "330-572-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "ANTONIO",
        "middle_name": "CARLOS BERNAUD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35092187",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 65635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.