Individual provider Active NPI

Bonnie Heather Templeton, M.D.

  • Family Medicine Physician
  • South Charleston, WV
National Provider Identifier
1487877551
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28202 Issued in WV
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

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MD8227MedicaidAK

Other names 1

  • Bonnie Heather Sciambra Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180625002063 WV Practitioner - Family Practice 3870782386 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6796AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wirt County Health Services Association, Inc Family Medicine Current Accepting new patients
Wirt County Health Services Association Inc CurrentSince Jul 1, 2018 Accepting new patients
Wirt County Health Services Association, Inc Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Wirt County Health Services Association Inc Family Medicine Current Accepting new patients
Wellbe Medical Group of West Virginia Inc CurrentSince Nov 1, 2022 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.

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

Verify at the official NPI Registry.