Don Paul Bunnell, MD
Individual provider Active NPI Internal Medicine Physician · Port Lavaca, TX
NPI 1033123799 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1033123799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G3196 (TX)
- Practice address
- 1200 North Virginia
Port Lavaca, TX 77979 - Phone
- (361) 552-6721
- Fax
- (361) 552-7463
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Owned or controlled facilities with NPI records 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Memorial Medical Center |
Hospital | Corporate Director (10%) | Mar 31, 2016 |
| Memorial Medical Center |
Hospital | Corporate Director (10%) | Mar 22, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091230000675 | TX | Practitioner - Internal Medicine | 4385711209 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center | Current |
Accepting new patients | |
| Memorial Medical Center | Current |
Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G3196 | TX | Yes |
Addresses
Primary practice location
1200 North Virginia
Port Lavaca, TX 77979
Mailing address
1101 N Benavides St
Port Lavaca, TX 77979-2922
Phone (361) 552-2259
Other providers in Port Lavaca, TX
- Olive Edwina Botor
- Kristi Boyd
- Stephen A Branch
- Victoria Leigh Brown
- Nichole Lynn Bruno
- Kendra Anne Bunurai
- Autumn Busselle
- C.I.R.C.,P.a.
- Calhoun County
- Calhoun County Health Department
All providers in Port Lavaca, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.