Active NPI
Bonnie Sue Reid
- Nurse Practitioner
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1982141933
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
100 N Main St
Gideon, MO 63848-9253
Phone (573) 448-3800
Hospital & facility affiliations
- Bothwell Regional Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1982141933 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| Barnes Health LLC | Current | Accepting new patients | |
| Barnes Health Care Management Group LLC | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Current | 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
- 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, MO
- NPI 1396999686
MO
-
- Family Medicine Physician
- Kennett, MO
- NPI 1124679774
-
- Family Medicine Physician
- Gideon, MO
- NPI 1497189864
-
- Family Medicine Physician
- Steele, MO
- NPI 1164440806
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.