Geoffrey Buncke MD PC

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

MD23806 Issued in OR

Legal business name

GEOFFREY BUNCKE MD PC

Practice address

1040 NW 22ND
Suite 550
Portland, OR 97210

Phone

(503) 973-5000

Fax

(503) 274-0188

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Miss Charisse Peterson

Title

Billing

Phone

(503) 973-5000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1225215015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND",
            "address_2": "SUITE 550",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-973-5000",
            "fax_number": "503-274-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND",
            "address_2": "SUITE 550",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-973-5000",
            "fax_number": "503-274-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY BUNCKE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "503-973-5000",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "OR",
            "license": "MD23806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Genz
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• Gary Lee Genzer, DMD
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• George Cluen
• George Drinka MD and Barbara Drinka LCSW PC
• George I. Hannibal
• George Lewis Counseling LLC
• Brian J George-Mayer, MD

• Surgery of the Hand (Plastic Surgery) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.