Lawrence H. Bundrick, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

16674 Issued in AL

Practice address

333 Whitesport Dr SW Ste 201
Huntsville, AL 35801-3455

Phone

(256) 881-8800

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013928316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WHITESPORT DR SW STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013455",
            "telephone_number": "256-881-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WHITESPORT DR SW STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013455",
            "telephone_number": "256-881-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDRICK",
        "first_name": "LAWRENCE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "16674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey A Bullock, OD
• Rebekah Kate Bullock, PMHNP-BC
• Tiffany Bumpus, CRNP
• Gail L Bundow, MD
• Kailyn Marie Bundren
• Jamie Victoria Bunis, D.C.
• Jennifer Bunn, CRNP
• Susan Gaillard Bunyard, SLP-CCC
• Allee Elizabeth Burch
• Jolie Nicole Burdette

• Plastic Surgery Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Plastic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.