NPIMap

Individual provider Active NPI

Bao-Anh Ngoc Bui, M.D.

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1578787024
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009-01251 Issued in NC
Practice address
1756 Metromedical Dr
Fayetteville, NC 28304-3861
Phone
(910) 485-8831
Fax
(866) 559-1259
NPI assigned
Apr 13, 2007
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2009-01251 NC Primary

Addresses

Primary practice location

1756 Metromedical Dr
Fayetteville, NC 28304-3861

Mailing address

PO Box 2582
Bryson City, NC 28713-2582
Phone (910) 239-8100

Other identifiers 2

IdentifierTypeStateIssuer
2075474BOtherNCMEDICARE PTAN
P01034103OtherNCRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100126000676 NC Practitioner - Family Practice 1355483512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1756 Metromedical Dr
Fayetteville, NC 28304-3861
Phone (910) 485-8831

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-01251NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aa All American Family Healthcare, PLLC CurrentSince Feb 15, 2010 Accepting new patients
Lafayette Clinic, PA PastSince Feb 15, 2010 Accepting new patients

Locations

1750 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 223-1222

1756 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 323-1322

514 Beaumont Rd
Fayetteville, NC 28304
Phone (910) 485-8831

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBCECD/Endpoint/BBCECD

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1578787024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2582",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287132582",
            "telephone_number": "910-239-8100",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-485-8831",
            "fax_number": "866-559-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "BAO-ANH",
        "middle_name": "NGOC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-01251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2075474B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01034103",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.