BERNICE BADU MD
NPI 1083291074
General Practice in Winston Salem, NC

Active since March 25, 2021PECOS Enrolled
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER, WINSTON SALEM, NC 27157(336) 716-0423 Get Directions Write a Review

NPPES record last updated: December 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2023, Jun 17, 2021, Mar 25, 2021 (3 updates tracked since 2021).

About Bernice Badu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNICE BADU MD (NPI 1083291074) is an individual general practice provider in Winston Salem, North Carolina, licensed in North Carolina (2023-03371) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083291074
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameBERNICE BADUCredential: MD
Location Address1 MEDICAL CENTER BLVD 5TH JANEWAY TOWERWinston Salem, NC 27157-0001
Mailing Address1 Medical Center Blvd 5th Janeway TowerWinston Salem, NC 27157-0001 · (336) 716-0423
Sole ProprietorNo
Enumeration DateMarch 25, 2021
Last NPPES UpdateDecember 17, 20233 updates tracked since enumeration
NPPES CertifiedDecember 17, 2023
✔ NPI 1083291074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NC · 2023-03371
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER, Winston Salem, NC 27157

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bernice Badu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bernice Badu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
2101 PETERS CREEK PKWY STE 16-19
Winston Salem, NC 27127
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: United Health Center
  • 26 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernice Badu's NPI number?

The NPI number for Bernice Badu is 1083291074. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Bernice Badu located?

Bernice Badu practices at 1 Medical Center Blvd 5th Janeway Tower, Winston Salem, NC 27157. The listed phone number is (336) 716-0423.

What is Bernice Badu's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bernice Badu enrolled in Medicare?

Yes. Bernice Badu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bernice Badu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bernice Badu reassigns Medicare benefits to United Health Centers (Winston Salem, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bernice Badu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bernice Badu was last updated on December 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.