Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boonpon Thongteum, NP

Individual provider Nurse Practitioner · NPI 1255392536

Boonpon Thongteum, NP is a Nurse Practitioner in Winston Salem, North Carolina. Graduated from Ohio State University College of Medicine in 2003, 23 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Trained at
Ohio State University College of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone: (336) 277-2000
Fax: (336) 277-2050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 900419 (NC)

Record details

NPI number1255392536
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESOctober 28, 2020
Certification dateSeptember 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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