Individual provider Active NPI

W. Bonner Guilford, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1811993033
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18648 Issued in NC
Practice address
1701 East Blvd
Charlotte, NC 28203-5823
Phone
(704) 334-7800
Fax
(704) 334-7818
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 18648 NC Primary

Addresses

Primary practice location

1701 East Blvd
Charlotte, NC 28203-5823

Mailing address

1701 East Blvd
Charlotte, NC 28203-5823
Phone (704) 334-7800

Other identifiers 1

IdentifierTypeStateIssuer
8937865MedicaidNC

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
18648NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811993033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035823",
            "telephone_number": "704-334-7800",
            "fax_number": "704-334-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035823",
            "telephone_number": "704-334-7800",
            "fax_number": "704-334-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILFORD",
        "first_name": "W.",
        "middle_name": "BONNER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "18648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937865",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.