Active NPI
Robert Linville Bumgarner, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Bethesda, MD
National Provider Identifier
1255528139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 0101030764
- Practice address
- National Naval Medical Center
8901 Wisconsin Avenue
Bethesda, MD 20889-5600 - Phone
- (301) 295-5800
- NPI assigned
- Sep 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101030764 | VA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301040859 | MI |
Addresses
Primary practice location
National Naval Medical Center
8901 Wisconsin Avenue
Bethesda, MD 20889-5600
Mailing address
PO Box 4077
Merrifield, VA 22116-4077
Phone (703) 676-5468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301040859 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
| 0101030764 | VA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1255528139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4077",
"city": "MERRIFIELD",
"state": "VA",
"postal_code": "221164077",
"telephone_number": "703-676-5468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NATIONAL NAVAL MEDICAL CENTER",
"address_2": "8901 WISCONSIN AVENUE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895600",
"telephone_number": "301-295-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUMGARNER",
"first_name": "ROBERT",
"middle_name": "LINVILLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-25",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101030764",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301040859",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.