Bonnie J Goodwin, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

27049 Issued in NC

Practice address

137 Medical Lane
Pollocksville, NC 28573

Phone

(252) 633-1010

Fax

(252) 224-3071

NPI assigned

Aug 25, 2005

Last updated

Mar 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

72.61 of 100Reported as group

Quality

57.39

Promoting interoperability

68

Improvement activities

40

Cost

77.97

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.

• Carolinaeast Physicians

  • Cardiovascular Disease Physician
  • New Bern, NC
  • NPI 1104066794
  Medicare reassignment NPD
• Carolinaeast Physicians

  • Obstetrics & Gynecology Physician
  • New Bern, NC
  • NPI 1619868981
  NPD
• Carolinaeast Physicians

  • Internal Medicine Physician
  • New Bern, NC
  • NPI 1871894519
  NPD

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1922091875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896206",
            "telephone_number": "252-633-1010",
            "fax_number": "252-224-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MEDICAL LANE",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "28573",
            "telephone_number": "252-633-1010",
            "fax_number": "252-224-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "BONNIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "27049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Carolina Internal Medicine PA
• Executive Medical Transportation, LTD (Executive Medical Transportation, Inc)
• Nicholas Farina, MD
• Fields Foundation
• Benjamin Donald Gilmore, MPT
• Jennifer Lynn Holmes, MD
• Robert Orin Holmes Jr., D.O.
• Sherry Mattocks Jarman, LPC
• John Brian Jasper II, M.D.
• Katherine Pandelidis Kaufman, MD

• Hematology & Oncology Physician in Pollocksville, NC
• Providers in Pollocksville, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.