Active NPI
Lorenzo Jermaine Bunch
- Driver
- Virginia Beach, VA
National Provider Identifier
1093680464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- T62673404
- Practice address
- 4605 Pembroke Lake Cir Ste 202
Virginia Beach, VA 23455-6436 - Phone
- (757) 813-4819
- NPI assigned
- Oct 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | T62673404 | VA | Primary |
Addresses
Primary practice location
4605 Pembroke Lake Cir Ste 202
Virginia Beach, VA 23455-6436
Mailing address
6702 Burbage Landing Cir
Suffolk, VA 23435-3080
Phone (757) 813-4819
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T62673404 | VA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1093680464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6702 BURBAGE LANDING CIR",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353080",
"telephone_number": "757-813-4819",
"fax_number": "757-813-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 PEMBROKE LAKE CIR STE 202",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556436",
"telephone_number": "757-813-4819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "LORENZO",
"middle_name": "JERMAINE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "VA",
"license": "T62673404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.