Individual provider Active NPI

Amy Bopha Bun, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mont Belvieu, TX
National Provider Identifier
1144951195
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1096814 Issued in TX
Practice address
9825 Eagle Dr
Mont Belvieu, TX 77523-9847
Phone
(409) 267-4126
NPI assigned
Jun 21, 2022
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2364619 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 82241 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1096814 TX Primary

Addresses

Primary practice location

9825 Eagle Dr
Mont Belvieu, TX 77523-9847

Mailing address

4443 Brandemere Way St
Houston, TX 77066-3618
Phone (832) 868-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621003524 TX Practitioner - Nurse Practitioner 6204294382 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nemaha Valley Community HospitalGroup PAC ID 2668383472, shared by 3 NPIs, 23 clinicians

Practice addresses (Care Compare)

1600 Community Dr
Seneca, KS 66538-9739
Phone (785) 336-0439

808 W US Hwy 79
Franklin, TX 77856-1728
Phone (979) 383-2340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
82241KSMDPsychiatric/Mental Health Nurse Practitioner
RN2364619MAMDPsychiatric/Mental Health Nurse Practitioner
1096814TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chambers County Public Hospital District No 1 Current Accepting new patients
Chambers County Public Hospital District No 1 CurrentSince May 23, 2023 Accepting new patients
Brazos Valley Community Action Agency, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Chambers County Public Hospital District No. 1 CurrentSince May 23, 2023 Accepting new patients
Chambers County Public Hospital District No 1 Current Accepting new patients
Nemaha Valley Community Hospital Past Accepting new patients
Nemaha Valley Community Hospital Past Accepting new patients
Bend Health Psychiatric Services South Central PA Past Accepting new patients
Bend Health Psychiatric Services New England PA Past Accepting new patients

Locations

3370 S Texas Ave
Bryan, TX 77802
Phone (979) 595-1700

1500 University Dr E
College Station, TX 77840
Phone (979) 693-7400

1500 University Dr E
Ste 100
College Station, TX 77840
Phone (979) 383-2340

9825 Eagle Dr
Mont Belvieu, TX 77523
Phone (281) 576-0670

8310 Highway 6 Loop
Navasota, TX 77868
Phone (936) 825-0000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8e95a1ff-1887-4987-a791-2170776e0067/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1144951195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4443 BRANDEMERE WAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663618",
            "telephone_number": "832-868-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 EAGLE DR",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775239847",
            "telephone_number": "409-267-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUN",
        "first_name": "AMY",
        "middle_name": "BOPHA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2364619",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "82241",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1096814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mont Belvieu, TX

Sources for this page

Verify at the official NPI Registry.