Yai Supawit Buranakul, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036.109576 Issued in IL

Practice address

3618 N Vermilion St
Danville, IL 61832-1129

Phone

(217) 636-3349

NPI assigned

Jul 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lincoln Chiropractic Clinic P.C.

  • Chiropractor
  • Springfield, IL
  • NPI 1528135092
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1609075027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321129",
            "telephone_number": "217-636-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321129",
            "telephone_number": "217-636-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURANAKUL",
        "first_name": "YAI",
        "middle_name": "SUPAWIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036109576",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036.109576",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-109576",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.109576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Nicole Brown, RN
• Maggie Brozio, BS
• Joyce Karen Brunt, M.D.
• Daniel Bryant
• Leith Elan Bucher, L.C.S.W.
• Mark Christopher Burgess, PHARMD
• Annabelle Burke, DPT
• Mary Lisa Burke, RPH
• Chad Aaron Burkowski
• Charles Allan Burkowski, PA-C

• General Practice Physician in Danville, IL
• Providers in Danville, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.