Albert Thomas Bundy, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

14710 Issued in SC

Practice address

15 Hospital Center Blvd
Suite 1
Hilton Head, SC 29926-2727

Phone

(843) 689-9200

Fax

(843) 689-9201

NPI assigned

Dec 1, 2005

Last updated

Apr 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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 SC

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

West Virginia University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hilton Head Dermatology and Skin Cancer Center PAGroup PAC ID 4981508066, 4 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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: t.bundy@hhd.emadirect.md

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.

• Hilton Head Dermatology and Skin Cancer Center PA

  • MOHS-Micrographic Surgery Physician
  • Hilton Head, SC
  • NPI 1639254014
  Medicare reassignment Care Compare group NPD Authorized official
• Dermatology Surgery Center, LLC

  dba Laser & Skin Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Hilton Head, SC
  • NPI 1982783270
  NPD

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1194709378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL CENTER BLVD",
            "address_2": "SUITE 1",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262727",
            "telephone_number": "843-689-9200",
            "fax_number": "843-689-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL CENTER BLVD",
            "address_2": "SUITE 1",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262727",
            "telephone_number": "843-689-9200",
            "fax_number": "843-689-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "ALBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "14710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL4652",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broad River Primary Care LLC (Infectious Disease Associates of the Low Country)
• David A Brosman, MD
• Aldric Demond Browne
• Diamond Takeya Bryan
• Gunter Bullock
• Robert L Burnaugh, MD
• Caleb Campbell, HIS
• Candler Hospital, Inc. (St. Joseph's Candler SC Cancer Specialists)
• Brett Jeffrey Cargill, MD
• Cynthia E Carlson, XTS

• Specialist in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.