Bonnie R Dunlap, MEDICAL DOCTOR

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5335271 Issued in MO

Practice address

330 Wiegel Dr
Saint Louis, MO 63135-2961

Phone

(314) 755-2273

NPI assigned

Feb 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Prof. Bonnie R Burrage Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1699367383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WIEGEL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631352961",
            "telephone_number": "314-755-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WIEGEL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631352961",
            "telephone_number": "314-755-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "BONNIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "5335271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "BURRAGE",
            "middle_name": "R",
            "prefix": "PROF.",
            "credential": "BONNIE RUTH BURRAGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Dunigan, MD
• Brooklyn Dunihoo
• Caitlin Elisabeth Duniven, M.A.
• Kevin Russell Duniven, D.D.S.
• Dunlap Physical Therapy and Wellness
• Kathleen Dunlap, DPT
• Dunn-Dunn House LLC
• Bradley Jess Dunn, L.C.S.W.
• Casey Raymond Dunn, MD
• Charlita Shernee' Dunn, FNP

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.