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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: July 26, 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 and is a graduate of Medical College Of Wisconsin (2021).

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
Phone(336) 716-0423
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2021
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4082015318
PECOS Enrollment IDI20250905000183
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.

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.

MADISON ANN SIMAS MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Forsyth County (336) 716-0423
KIYANNA IMANI THOMAS
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Forsyth County (336) 716-0423
ANDREA MICHELLE BOYD TRESSLER MD, PHD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Forsyth County (336) 716-0423
ALEXANDRIA RENEE WALER
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Forsyth County (336) 716-0423
DANA FELDMAN MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Forsyth County (336) 716-0423
MACKENZIE HALE
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Forsyth County (336) 716-0423
DR. HEATHER DENISE OTS
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Forsyth County (336) 716-0423
BENJAMIN ISAAC SCHACHNER
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 5TH JANEWAY TOWER
WINSTON SALEM, NC 27157
Forsyth County (336) 716-0423

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.

When was this NPI record last updated?

The NPPES record for Bernice Badu was last updated on December 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.