Organization Active NPI

Bhirom Buranakul MD LLC

  • Rural Health Clinic/Center
  • Danville, IL
National Provider Identifier
1649402702
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BHIROM BURANAKUL MD LLC
Practice address
102 N Logan Ave
Danville, IL 61832-8513
Phone
(217) 442-5863
NPI assigned
Aug 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Dr. Bhirom Buranakul, MD
Title
Owner
Phone
(217) 442-5863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

102 N Logan Ave
Danville, IL 61832-8513

Mailing address

102 N Logan Ave
Danville, IL 61832-8513
Phone (217) 442-5863

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1649402702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618328513",
            "telephone_number": "217-442-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618328513",
            "telephone_number": "217-442-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHIROM BURANAKUL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "BURANAKUL",
        "authorized_official_first_name": "BHIROM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-442-5863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.