NPIMap

Individual provider Active NPI

Charles Vaughan Bulfinch, D.O.

  • Family Medicine Physician
  • Union Gap, WA
National Provider Identifier
1104181221
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP60409599 Issued in WA
Practice address
1420 Ahtanum Ridge Dr
Union Gap, WA 98903-1839
Phone
(509) 454-7700
NPI assigned
Jul 5, 2012
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OL60287940 WA
Family Medicine Physician 207Q00000X OP60409599 WA Primary

Addresses

Primary practice location

1420 Ahtanum Ridge Dr
Union Gap, WA 98903-1839

Mailing address

PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-1617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150205000761 WA Practitioner - Family Practice 5597988766 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SHC Medical Center ToppenishGroup PAC ID 4082980065, 43 clinicians

Practice addresses (Care Compare)

1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4520

502 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OL60287940WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association CurrentSince Oct 23, 2017 Accepting new patients
SHC Medical Center Toppenish CurrentSince Apr 1, 2020 Accepting new patients
Sunnyside Community Hospital Association Family Medicine CurrentSince Oct 23, 2017 Accepting new patients
Sunnyside Community Hospital Outpatient Center 5 CurrentSince Oct 23, 2017 Accepting new patients
Community Health of Central Washington Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Community Health of Central Washington CurrentSince Feb 1, 2015 Accepting new patients
Empire Health Services Past Accepting new patients
Sunnyside Community Hospital Association Family Medicine Past Accepting new patients
Community Health of Central Washington Family Medicine Past Accepting new patients

Locations

521 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 962-1414

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

500 S 11th St
Sunnyside, WA 98944
Phone (509) 837-1722

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

1420 Ahtanum Ridge Dr
Union Gap, WA 98903
Phone (509) 454-7700

1005 W Walnut St
Ste 120
Yakima, WA 98902
Phone (509) 248-6080

110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000

1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520

2501 Business Ln
Yakima, WA 98901
Phone (509) 575-4800

402 S 12th Ave
Yakima, WA 98902
Phone (509) 248-3263

501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1104181221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 AHTANUM RIDGE DR",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989031839",
            "telephone_number": "509-454-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULFINCH",
        "first_name": "CHARLES",
        "middle_name": "VAUGHAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OL60287940",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60409599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union Gap, WA

Sources for this page

Verify at the official NPI Registry.