Individual provider Active NPI

Craig L Bookout, MD

  • Family Medicine Physician
  • Rocky Mount, VA
National Provider Identifier
1962487223
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101247843 Issued in VA
Practice address
180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone
(540) 483-5277
Fax
(540) 489-6453
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101247843 VA Primary

Addresses

Primary practice location

180 Floyd Ave
Rocky Mount, VA 24151-1318

Mailing address

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277

Other identifiers 2

IdentifierTypeStateIssuer
0051678000MedicaidWV
000472171OtherWVBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20100827000100 VA Practitioner - Emergency MedicinePractitioner - Family Practice 3779672704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
JC Edwards School of Medicine, Marshall University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14514WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Giles Community Hospital Current Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 14, 2019 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 14, 2019 Accepting new patients
Carilion Medical Center Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Carilion Medical Center CurrentSince Aug 1, 2010 Accepting new patients
Carilion Franklin Memorial Hospital PastSince Oct 1, 2021 Accepting new patients
Greenbrier Valley Emergency Physicians LLC Past Accepting new patients
BJSM Med Inc Past Accepting new patients

Locations

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

Interoperability endpoints

  • Direct secure messaging: cbookout7063@direct.carilionclinic.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carilion Franklin Memorial HospitalRocky Mount, VA, CCN 497038 Home health agency Corporate Director Sep 30, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1962487223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FLOYD AVE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511318",
            "telephone_number": "540-483-5277",
            "fax_number": "540-489-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FLOYD AVE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511318",
            "telephone_number": "540-483-5277",
            "fax_number": "540-489-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKOUT",
        "first_name": "CRAIG",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101247843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051678000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "000472171",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

Verify at the official NPI Registry.