Paul Anthony Buongiorno, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01189 Issued in NC

Practice address

1402 S 17TH St
Wilmington, NC 28401-6436

Phone

(910) 762-8400

Fax

(910) 762-9558

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Georgetown University School of Medicine, 1980

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Paul a. Buongiorno, M.D., P.a.

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1366757254
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821075805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016436",
            "telephone_number": "910-762-8400",
            "fax_number": "910-762-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016436",
            "telephone_number": "910-762-8400",
            "fax_number": "910-762-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONGIORNO",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "01189",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "34364",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "13002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "19910",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Jean Bunge, DC
• Shelley Jan Bunn, LCMHCA
• Taylor Pilar Bunn, MS
• Elizabeth McNeill Bunting, DSC, PA-C
• Jane Vogt Buongiorno, PH.D.
• Linda W Burbank, MSW LCSW
• Jane Marie Burchfield, OTRL CHT
• Latecia A Burden, LCSW
• Sarah Elizabeth Burdette, LCMHC
• Darcy Jo Burgard, PA-C

• Psychiatry Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.