Bruce R Jung, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27961 Issued in KY

Practice address

46 Marisa CT
Corbin, KY 40701-8935

Phone

(606) 280-1514

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• The Doc Shoppe

  • Family Medicine Physician
  • Corbin, KY
  • NPI 1447945910
  NPD Authorized official

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1174500482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MARISA CT",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018935",
            "telephone_number": "606-280-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MARISA CT",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018935",
            "telephone_number": "606-280-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "BRUCE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "27961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64279615",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D'Angelo Jordan Sr.
• Stephanie Jordan, MA, LPCC
• Joseph Tye Prewitt
• Adam Joseph
• Amber Sudie Joseph
• Dana Renae Junker, DI
• Dianne Collett Kagin, M.A., CADC
• Jessica Brooke Karbowski, IECE
• George Kargas, M.D.
• Doris Lee Ruth Karr, BS

• Family Medicine Physician in Corbin, KY
• Providers in Corbin, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.