Individual provider Active NPI

Brian Sean Bunny

  • Community Health Worker
  • Ransomville, NY
National Provider Identifier
1023476223
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
3509 Ransomville Rd
Ransomville, NY 14131-9602
Phone
(716) 791-3571
Fax
(716) 791-3398
NPI assigned
Feb 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

3509 Ransomville Rd
Ransomville, NY 14131-9602

Mailing address

3509 Ransomville Rd
Ransomville, NY 14131-9602
Phone (716) 791-3571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1023476223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 RANSOMVILLE RD",
            "city": "RANSOMVILLE",
            "state": "NY",
            "postal_code": "141319602",
            "telephone_number": "716-791-3571",
            "fax_number": "716-791-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 RANSOMVILLE RD",
            "city": "RANSOMVILLE",
            "state": "NY",
            "postal_code": "141319602",
            "telephone_number": "716-791-3571",
            "fax_number": "716-791-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNY",
        "first_name": "BRIAN",
        "middle_name": "SEAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ransomville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.