Individual provider Active NPI

Bonnie Sue Reid

  • Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1982141933
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1982141933 Issued in MO
Practice address
2101 Corona Rd
Ste 102
Columbia, MO 65203-2582
Phone
(573) 234-1800
Fax
(573) 234-1799
NPI assigned
Jan 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1982141933 MO Primary
Gerontology Nurse Practitioner 363LG0600X 2017002500 MO

Addresses

Primary practice location

2101 Corona Rd
Ste 102
Columbia, MO 65203-2582

Mailing address

2101 Corona Rd
Ste 102
Columbia, MO 65203-2582
Phone (573) 234-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address breid@BHM.gehrimeddirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170418000701 MO Practitioner - Nurse Practitioner 7214910165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McPherson Medical and Diagnostic LLCGroup PAC ID 5698773539, 88 clinicians

Practice addresses (Care Compare)

100 N Main St
Gideon, MO 63848-9253
Phone (573) 448-3800

Hospital & facility affiliations

  • Bothwell Regional Health Center Hospital, Sedalia, MO, CCN 260009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1982141933MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC CurrentSince Sep 1, 2024 Accepting new patients
Barnes Health LLC CurrentSince Jul 19, 2023 Accepting new patients
Barnes Health Care Management Group LLC CurrentSince Feb 13, 2017 Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince Sep 1, 2024 Accepting new patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
McPherson Medical & Diagnostic, LLC Past Accepting new patients

Locations

2101 Corona Rd
Ste 102
Columbia, MO 65203
Phone (573) 234-1800

1734 Market St
Hannibal, MO 63401
Phone (573) 221-2930

223 S 3rd St
Hayti, MO 63851
Phone (573) 359-2019

1333 Scenic Dr
Herculaneum, MO 63048
Phone (636) 931-2995

621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300

11515 Troost Ave
Kansas City, MO 64131
Phone (813) 943-4104

304 Teaco Rd
Ste A
Kennett, MO 63857
Phone (573) 559-3591

2041 Silva Ln
Moberly, MO 65270
Phone (660) 263-1894

4401 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 521-7471

2800 Highway TT
#Four
Sedalia, MO 65301
Phone (660) 826-8803

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522

Interoperability endpoints

  • Direct secure messaging: breid@bhm.gehrimeddirect.com

Organizations & group practices 6

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 2

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": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1982141933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD",
            "address_2": "STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800",
            "fax_number": "573-234-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD",
            "address_2": "STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800",
            "fax_number": "573-234-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "BONNIE",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "1982141933",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2017002500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "breid@BHM.gehrimeddirect.com",
            "affiliation": "N",
            "address_1": "2101 Corona Rd",
            "address_2": "STE 102",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652032582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.