NPIMap

Individual provider Active NPI

Bonnie Culkin, M.D.

  • Family Medicine Physician
  • Roanoke, VA
National Provider Identifier
1982642930
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101053171 Issued in VA
Practice address
1421 3Rd St SW
Roanoke, VA 24016-5204
Phone
(540) 345-4946
NPI assigned
Jun 3, 2006
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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 0101053171 VA Primary

Addresses

Primary practice location

1421 3Rd St SW
Roanoke, VA 24016-5204

Mailing address

4461 Starkey Road Suite 201
Roanoke, VA 24018
Phone (540) 345-4946

Other practice location 1

4461 Starkey Road Suite 201
Roanoke, VA 24018
Phone (540) 345-4946

Other identifiers 6

IdentifierTypeStateIssuer
5361306OtherVAAETNA
1982642930MedicaidVA
313123OtherVASOUTHERN HEALTH
324497OtherVAANTHEM
080120085OtherVARAILROAD MEDICARE
3291137OtherVACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20060609000209 VA Practitioner - Family Practice 1557373545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Associates of Virginia PCGroup PAC ID 3870578214, 7 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1421 3Rd St SW
Roanoke, VA 24016-5204
Phone (540) 345-4946

3365 Ogden Rd
Roanoke, VA 24018-1151
Phone 5406827506506

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Associates of Virginia PC Family Medicine CurrentSince Aug 1, 2006 Accepting new patients
Blacksburg Neurology PC PastSince Nov 1, 2025 Accepting new patients

Locations

1421 3rd St SW
Roanoke, VA 24016
Phone (540) 345-4946

4461 Starkey Rd
Ste 201
Roanoke, VA 24018
Phone (540) 345-4946

431 Apperson Dr
Salem, VA 24153
Phone (540) 375-3790

Interoperability endpoints

  • Direct secure messaging: bculkin@pav.ssdirect.aprima.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1982642930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 STARKEY ROAD SUITE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-345-4946",
            "fax_number": "540-982-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165204",
            "telephone_number": "540-345-4946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4461 Starkey Road Suite 201",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "24018",
            "country_code": "US",
            "telephone_number": "540-345-4946",
            "fax_number": "540-982-7164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULKIN",
        "first_name": "BONNIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101053171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5361306",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982642930",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "313123",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "324497",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080120085",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3291137",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.