Active NPI
Weldon Louis Kunkel, MD
- Emergency Medicine Physician
- Waco, TX
National Provider Identifier
1124130190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- TXBE1006
- Practice address
- 6901 Medical Parkway
Waco, TX 76712 - Phone
- (254) 751-4146
- Fax
- (254) 751-4283
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | TXBE1006 | TX | Primary |
Addresses
Primary practice location
6901 Medical Parkway
Waco, TX 76712
Mailing address
PO Box 2589
Waco, TX 76702-2589
Phone (254) 751-4146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 873801 | Other | TX | BC BS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TXBE1006 | TX | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124130190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2589",
"city": "WACO",
"state": "TX",
"postal_code": "767022589",
"telephone_number": "254-751-4146",
"fax_number": "254-751-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 MEDICAL PARKWAY",
"city": "WACO",
"state": "TX",
"postal_code": "76712",
"telephone_number": "254-751-4146",
"fax_number": "254-751-4283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNKEL",
"first_name": "WELDON",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "TXBE1006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "873801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.