Individual provider Active NPI

Richard Catoe Bumgardner, MD

  • Internal Medicine Physician
  • Delco, NC
National Provider Identifier
1649295726
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200000190 Issued in NC
Practice address
27443 Andrew Jackson Hwy E
Delco, NC 28436-8822
Phone
(910) 655-1980
Fax
(910) 655-1981
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200000190 NC Primary

Addresses

Primary practice location

27443 Andrew Jackson Hwy E
Delco, NC 28436-8822

Mailing address

27443 Andrew Jackson Hwy E
Delco, NC 28436-8822
Phone (910) 655-1980

Other identifiers 1

IdentifierTypeStateIssuer
89126TYMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040511001264 NC Practitioner - Internal Medicine 0547259855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27443 Andrew Jackson E Hwy
Delco, NC 28436-8822
Phone (910) 655-1980

27443 Andrew Jackson Hwy E
Delco, NC 28436-8822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.74 of 100Reported as individual
Quality
100
Promoting interoperability
91
Improvement activities
40
Cost
79.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Columbus Primary Care PA Internal Medicine CurrentSince Mar 15, 2004 Accepting new patients

Locations

27443 Andrew Jackson Hwy E
Delco, NC 28436
Phone (910) 655-1930

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15279/brand/1/csg/1/fhir/r4
  • Direct secure messaging: richard.bumgardner.1@15279.direct.athenahealth.com

Organizations & group practices 1

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1649295726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27443 ANDREW JACKSON HWY E",
            "city": "DELCO",
            "state": "NC",
            "postal_code": "284368822",
            "telephone_number": "910-655-1980",
            "fax_number": "910-655-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27443 ANDREW JACKSON HWY E",
            "city": "DELCO",
            "state": "NC",
            "postal_code": "284368822",
            "telephone_number": "910-655-1980",
            "fax_number": "910-655-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMGARDNER",
        "first_name": "RICHARD",
        "middle_name": "CATOE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200000190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126TY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delco, NC

Sources for this page

Verify at the official NPI Registry.