Active NPI
Bonnie Heather Templeton, M.D.
- Family Medicine Physician
- South Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28202
- Practice address
- 411 1/2 D Street
Suite 3
South Charleston, WV 25303-2533 - Phone
- (855) 997-7900
- Fax
- (304) 701-2545
- NPI assigned
- Apr 10, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0078684 | MD | |
| Family Medicine Physician | 207Q00000X | 6796 | AK | |
| Family Medicine Physician | 207Q00000X | 28202 | WV | Primary |
Addresses
Primary practice location
411 1/2 D Street
Suite 3
South Charleston, WV 25303-2533
Mailing address
411 1/2 D Street
Suite 3
South Charleston, WV 25303-2533
Phone (855) 997-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD8227 | Medicaid | AK |
Other names 1
- Bonnie Heather Sciambra
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6796 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wirt County Health Services Association, Inc | Family Medicine | Current | Accepting new patients |
| Wirt County Health Services Association Inc | Current | Accepting new patients | |
| Wirt County Health Services Association, Inc | Family Medicine | Current | Accepting new patients |
| Wirt County Health Services Association Inc | Family Medicine | Current | Accepting new patients |
| Wellbe Medical Group of West Virginia Inc | Current | Accepting new patients | |
| Western Maryland Health Care Corporation | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
225 W Washington St
Ste 1500
Chicago, IL 60606
Phone (312) 776-2422
1506 Kanawha Blvd W
Charleston, WV 25387
Phone (312) 872-7537
606 Washington St
Ravenswood, WV 26164
Phone (304) 273-1033
512A Church St S
Ripley, WV 25271
Phone (304) 372-1033
411 D St
Ste 3
South Charleston, WV 25303
Phone (855) 997-7900
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Charleston, WV
- NPI 1184331514
-
- Federally Qualified Health Center (FQHC)
- Ripley, WV
- NPI 1043401730
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Parkersburg, WV
- NPI 1497484091
-
- Federally Qualified Health Center (FQHC)
- Ravenswood, WV
- NPI 1356403703
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Elizabeth, WV
- NPI 1538179411
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Bruceton Mills, WV
- NPI 1679269807
-
- 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": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1487877551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 1/2 D STREET",
"address_2": "SUITE 3",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253032533",
"telephone_number": "855-997-7900",
"fax_number": "304-701-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 1/2 D STREET",
"address_2": "SUITE 3",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253032533",
"telephone_number": "855-997-7900",
"fax_number": "304-701-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLETON",
"first_name": "BONNIE",
"middle_name": "HEATHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2025-04-15",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0078684",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "6796",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "28202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD8227",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BONNIE",
"last_name": "SCIAMBRA",
"middle_name": "HEATHER",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.