Active NPI
Antonio Carlos Bernaud Burnett, M.D.
- Diagnostic Radiology Physician
- Kent, OH
National Provider Identifier
1386677698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35092187
- 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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbus Radiology Corp
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
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
- MH St Joseph Warren Hospital
- Mercy Regional Medical Center
- Southeastern Ohio Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031210000090 | FL | Practitioner - Diagnostic Radiology | 0840196945 | Reassigns benefits to 2 organizations |
| I20080930000403 | OH | Practitioner - Diagnostic Radiology | 0840196945 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 65635 | FL | MD | Diagnostic Radiology Physician |
| 35092187 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aultman Now Urgent Care, LLC | Current |
Accepting new patients | |
| Radiology Associates of Canton, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Ohio Imaging Centers Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Penn Imaging Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Radcare of Texas PLLC | 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) 244-8778
832 S Main St
Orrville, OH 44667
Phone (330) 456-2695
Interoperability endpoints
- aburnett34903@direct.bsmhealth.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35092187 | OH | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME 65635 | FL |
Addresses
NPPES NPI RegistryPrimary 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
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2873798 | Medicaid | OH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2016.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2873798",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.