NPIMap

Individual provider Active NPI

Richard Paul Bonsall, M.D.

  • Diagnostic Radiology Physician
  • Winston Salem, NC
National Provider Identifier
1851489694
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
200900166 Issued in NC
Practice address
1900 S Hawthorne Rd
Winston Salem, NC 27103-3913
Phone
(336) 970-5300
Fax
(336) 970-5298
NPI assigned
Oct 10, 2006
Last updated
Oct 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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 200900166 NC Primary
Vascular & Interventional Radiology Physician 2085R0204X 036.119872 IL
Vascular & Interventional Radiology Physician 2085R0204X 200900166 NC

Addresses

Primary practice location

1900 S Hawthorne Rd
Winston Salem, NC 27103-3913

Mailing address

3010 Trenwest Dr
Winston Salem, NC 27103-3208
Phone (336) 970-5000

Other identifiers 1

IdentifierTypeStateIssuer
5912220MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090511000023 NC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5294883799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Radiology Associates PLLCGroup PAC ID 8729086194, 75 clinicians

Practice addresses (Care Compare)

3015 Maplewood Ave
Suite 200
Winston Salem, NC 27103-4075
Phone (336) 794-4188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200900166NCMDDiagnostic Radiology Physician
036.119872ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Piedmont Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2009 Accepting new patients
Jacksonville Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 19, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 16, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 26, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 11, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Triad Radiology Associates PLLC Diagnostic Radiology CurrentSince Mar 18, 2009 Accepting new patients
Triad Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 19, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 23, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 26, 2025 Accepting new patients
Piedmont Imaging LLC Diagnostic Radiology PastSince Aug 1, 2009 Accepting new patients
Triad Radiology Associates, PLLC Vascular & Interventional Radiology Past Accepting new patients

Locations

218 Gatewood Ave
High Point, NC 27262
Phone (336) 802-2030

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

3010 Trenwest Dr
Winston Salem, NC 27103
Phone (336) 718-5844

3015 Maplewood Ave
Ste 200
Winston Salem, NC 27103
Phone (336) 794-4188

3155 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 718-7980

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1851489694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 TRENWEST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033208",
            "telephone_number": "336-970-5000",
            "fax_number": "336-970-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033913",
            "telephone_number": "336-970-5300",
            "fax_number": "336-970-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSALL",
        "first_name": "RICHARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200900166",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036.119872",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "200900166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912220",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.