Ellen F Bunch MD PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

ELLEN F BUNCH MD PLLC

Practice address

1456 W Gurley St
Prescott, AZ 86305-2828

Phone

(928) 777-8880

Fax

(928) 777-8884

NPI assigned

Apr 12, 2022

Last updated

May 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth L Bunch

Title

Practice Manager

Phone

(928) 777-8880

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellen F Bunch, MD, FIM, BSE, BAA

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1730289380
  NPD

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1023750684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052828",
            "telephone_number": "928-777-8880",
            "fax_number": "928-777-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052828",
            "telephone_number": "928-777-8880",
            "fax_number": "928-777-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN F BUNCH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "928-777-8880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elementary Nutrition
• James D. Eliason, M.D.
• Amanda Joan Eliseo, LPC
• Elite Diagnostics
• Joshua L. Elkin, MD
• Aaron Elliott, RN
• Sarah Elizabeth Elliott, RN
• Melissa Ellis
• Taylor Nicole Ellison, PHARMD
• Maryam Emami, MD

• Adult Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Adult Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.