Cory M Bunch, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11785 Issued in TN

Practice address

3960 New Covington Pike
Memphis, TN 38128-2504

Phone

(901) 516-5211

NPI assigned

Oct 24, 2006

Last updated

Sep 22, 2016By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-South Ear Nose and Throat PCGroup PAC ID 3779568092, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26256/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-myrecord.cerner.com/r4/110cb3c6-b110-474f-9f37-1dc02438d0c6/

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.

• Mid-South Ear, Nose, and Throat, P.C.

  • Otolaryngology Physician
  • Germantown, TN
  • NPI 1689780066
  Medicare reassignment Care Compare group NPD
• Carr PLLC

  dba Sound Physicians Emergency of Greater Memphis

  • Emergency Medicine Physician
  • Brentwood, TN
  • NPI 1548677610
  Medicare reassignment NPD
• T M Carr MD PC

  • Emergency Medicine Physician
  • Dyersburg, TN
  • NPI 1992706097

  Nurse Practitioner

  Medicare reassignment NPD
• Mid-South Ear, Nose, and Throat, P.C.

  • Otolaryngology Physician
  • Germantown, TN
  • NPI 1407057276
  NPD
• McKnight Clinic PLLC

  • Family Medicine Physician
  • Somerville, TN
  • NPI 1043482649
  NPD (past)
• North Internal Medicine, P. C.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1518982008
  NPD (past)
• Wilder Clinic

  • Family Medicine Physician
  • Sunerville, TN
  • NPI 1588675276
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1235213661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 AIRLINE RD UNIT 1017",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380025123",
            "telephone_number": "901-317-7427",
            "fax_number": "901-317-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282504",
            "telephone_number": "901-516-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "CORY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "11785",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "128867",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3642734",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Bullock, OT
• Greer Bullough, MS, RDN, LDN
• Victoria Bulthuis
• Hannah Marilyn Bultman, MD
• Chloe Bunch, SLP
• Jordan A Bunn, OT
• Bernice Buntyn
• Gregory James Burana, MD
• Rachel Turner Burana, RD
• Daniel Edwin Buras Sr., D.D.S.

• Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.