Individual provider Active NPI

Jonathan Anton Bucan, MD

  • Surgery Physician
  • Charlotte, NC
National Provider Identifier
1194341370
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2026-03659 Issued in NC
Practice address
7300 Carmel Executive Park Dr Ste 200
Charlotte, NC 28226-1336
Phone
(704) 916-2108
NPI assigned
Jun 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 2026-03659 NC Primary

Addresses

Primary practice location

7300 Carmel Executive Park Dr Ste 200
Charlotte, NC 28226-1336

Mailing address

7300 Carmel Executive Park Dr Ste 200
Charlotte, NC 28226-1336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7300 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-1336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351046629MIMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1194341370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 CARMEL EXECUTIVE PARK DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 CARMEL EXECUTIVE PARK DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261336",
            "telephone_number": "704-916-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCAN",
        "first_name": "JONATHAN",
        "middle_name": "ANTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "2026-03659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.