NPIMap

Individual provider Active NPI

Bonnie G Allen, M.D.

  • Diagnostic Radiology Physician
  • Beltsville, MD
National Provider Identifier
1770618951
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D38881 Issued in MD
Practice address
10133 Bacon Dr
Beltsville, MD 20705-2102
Phone
(301) 937-4072
Fax
(301) 937-2332
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101047482 VA
Diagnostic Radiology Physician 2085R0202X MD13763 DC
Diagnostic Radiology Physician 2085R0202X D38881 MD Primary

Addresses

Primary practice location

10133 Bacon Dr
Beltsville, MD 20705-2102

Mailing address

10133 Bacon Dr
Beltsville, MD 20705-2102
Phone (301) 937-4072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13763DCMDDiagnostic Radiology Physician
D38881MDMDDiagnostic Radiology Physician
0101047482VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preventive Diagnostics Inc Past Accepting new patients
Pdihealth MD LLC Past Accepting new patients
Pdi Health FL LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770618951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10133 BACON DR",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052102",
            "telephone_number": "301-937-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10133 BACON DR",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052102",
            "telephone_number": "301-937-4072",
            "fax_number": "301-937-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "BONNIE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101047482",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD13763",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D38881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.