NPIMap

Individual provider Active NPI

Julie Suzanne Bunner, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Wheeling, WV
National Provider Identifier
1013913011
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
19765 Issued in WV
Practice address
58 16TH St
Wheeling, WV 26003-3660
Phone
(304) 243-6410
Fax
(304) 243-6411
NPI assigned
Jun 23, 2005
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 19765 WV Primary

Addresses

Primary practice location

58 16TH St
Wheeling, WV 26003-3660

Mailing address

58 16TH St
Wheeling, WV 26003-3660
Phone (304) 243-6410

Other identifiers 5

IdentifierTypeStateIssuer
1812151000MedicaidWV
55035705701OtherWVWV COMPENSATION
19765OtherHEALTH PLAN OF UPPER OH V
2325353MedicaidOH
001718176OtherMOUNTAIN STATE BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20100810001151 WV Practitioner - Endocrinology 1456485622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
West Virginia University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

58 16TH St
Suite 300
Wheeling, WV 26003-3610
Phone (304) 231-2090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2002 Accepting new patients
Wheeling Hospital Inc Past Accepting new patients

Locations

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

58 16th St
Wheeling, WV 26003
Phone (304) 234-1985

58 16th St
Ste 300
Wheeling, WV 26003
Phone (304) 231-2090

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 5

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1013913011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 16TH ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "304-243-6410",
            "fax_number": "304-243-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 16TH ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "304-243-6410",
            "fax_number": "304-243-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNER",
        "first_name": "JULIE",
        "middle_name": "SUZANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "19765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1812151000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV COMPENSATION",
            "identifier": "55035705701",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF UPPER OH V",
            "identifier": "19765",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2325353",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001718176",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.