Bernice Buntyn

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0000004037 Issued in TN

Practice address

3535 Kirby Pkwy
Memphis, TN 38115-3721

Phone

(901) 365-3665

NPI assigned

Jun 29, 2021

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1083284293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4462 KAYLA CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381415800",
            "telephone_number": "901-247-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153721",
            "telephone_number": "901-365-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTYN",
        "first_name": "BERNICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000004037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Bulthuis
• Hannah Marilyn Bultman, MD
• Chloe Bunch, SLP
• Cory M Bunch, APN
• Jordan A Bunn, OT
• Gregory James Burana, MD
• Rachel Turner Burana, RD
• Daniel Edwin Buras Sr., D.D.S.
• Timothy Burbeck, RD
• Claire Burbridge

• Physical Therapy Assistant in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.