Amy C Bumgardner, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M3939 Issued in TX

Practice address

9303 Pinecroft Dr
Suite 150
The Woodlands, TX 77380-3181

Phone

(281) 363-5050

NPI assigned

Mar 13, 2007

Last updated

Jan 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael Sonabend MD PAGroup PAC ID 6901045665, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Michael Sonabend M.D., P.a.

  dba Complete Dermatology

  • Dermatology Physician
  • Houston, TX
  • NPI 1952642738
  Medicare reassignment Care Compare group NPD
• The Woodlands Dermatology Associates PA

  • Dermatology Physician
  • The Woodlands, TX
  • NPI 1619919958
  Medicare reassignment NPD
• Complete Labs PLLC

  • Dermatopathology (Pathology) Physician
  • Sugar Land, TX
  • NPI 1477360410
  NPD
• Village Chiropractic and Wellness P.L.L.C.

  dba Cornerstone Chiropractic

  • Chiropractor
  • League City, TX
  • NPI 1972750719
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1184757106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR",
            "address_2": "SUITE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803181",
            "telephone_number": "281-363-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR",
            "address_2": "SUITE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803181",
            "telephone_number": "281-363-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMGARDNER",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M3939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BSK Care Pharmacy LLC
• Douglas Jason Buckert, MD
• Jennifer Buffard, ARNP
• Vy Bui, DMD
• Janis Buice, MA CCC-SLP
• Christy Edwards Bunn, LPC-A
• Caryssa Chantille Burckart, PA-C
• Larry Winston Burgess, D.D.S.
• Alexander Joseph Buriak, DC
• Henry Leroy Burkholder IV, M.D.

• Dermatology Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.