Active NPI
Bonita Chambers, RDMS, RT-R
- Diagnostic Ultrasound Physician
- Kingsport, TN
National Provider Identifier
1821742370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 134547
- Practice address
- 2585 Bridgeforth Xing
Kingsport, TN 37664-5784 - Phone
- (276) 701-1195
- Fax
- (276) 963-2865
- NPI assigned
- Feb 3, 2022
- Last updated
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 134547 | VA | Primary |
Addresses
Primary practice location
2585 Bridgeforth Xing
Kingsport, TN 37664-5784
Mailing address
6719 Governor G.C. Peery Hwy
Suite 3100
Richlands, VA 24641
Phone (276) 701-1195
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | bonita@mobileultrasoundsolutions.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134547 | VA | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merit Medical Rural Health Clinic-Richlands, Inc. | Current | Accepting new patients | |
| Muhammad R. Javed MD PC | Current | Accepting new patients |
Locations
6719 Governor Gc Peery Hwy
Ste 3100
Richlands, VA 24641
Phone (276) 964-9102
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Richlands, VA
- NPI 1689639833
-
dba Merit Medical Group
- Cardiovascular Disease Physician
- Richlands, VA
- NPI 1689767832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1821742370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6719 GOVERNOR G.C. PEERY HWY",
"address_2": "SUITE 3100",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "24641",
"telephone_number": "276-701-1195",
"fax_number": "276-963-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2585 BRIDGEFORTH XING",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376645784",
"telephone_number": "276-701-1195",
"fax_number": "276-963-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "BONITA",
"credential": "RDMS, RT-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-03",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "VA",
"license": "134547",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "bonita@mobileultrasoundsolutions.com",
"affiliation": "N",
"endpointDescription": "HP Laptop",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2585 Bridgeforth Xing",
"city": "Kingsport",
"state": "TN",
"country_code": "US",
"postal_code": "376645784",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.