Bonny Payne, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006.0134153 Issued in VT

Practice address

1461 Blood Brook Rd
Fairlee, VT 05045-9847

Phone

(321) 750-9988

NPI assigned

Dec 16, 2017

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountainside ChiropracticGroup PAC ID 4789090325, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mountainside Chiropractic

  • Chiropractor
  • East Thetford, VT
  • NPI 1386235307
  Medicare reassignment Care Compare group NPD Authorized official
• Berthiaume Chiropractic PA

  • Chiropractor
  • Rockledge, FL
  • NPI 1699029876
  NPD (past)

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

{
    "created_epoch": "1513382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1740796523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "POST MILLS",
            "state": "VT",
            "postal_code": "050580068",
            "telephone_number": "802-565-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 BLOOD BROOK RD",
            "city": "FAIRLEE",
            "state": "VT",
            "postal_code": "050459847",
            "telephone_number": "321-750-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "BONNY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-16",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12315",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006.0134153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda L Egbert
• Gregory Scott Graham, MS
• Little Rivers Health Care, Inc.
• Milldale Farm Center for Wellness PLC
• Carol Elissa Owen, LICSW
• Samantha Petrone, RDH, BSDH
• Stefan Piscitelli
• Kyla Suarez
• Dawn Elizabeth Taylor, MA, LADC
• Upper Valley Ambulance, Inc

• Chiropractor in Fairlee, VT
• Providers in Fairlee, VT by specialty
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.