Individual provider Active NPI

Robert Charles Bunce, RADT

  • Peer Specialist
  • Sonora, CA
National Provider Identifier
1275406605
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MSS-UWDAHL Issued in CA
Practice address
19331 Susan Way
Sonora, CA 95370-9209
Phone
(209) 588-7018
NPI assigned
Sep 23, 2025
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MSS-UWDAHL CA Primary

Addresses

Primary practice location

19331 Susan Way
Sonora, CA 95370-9209

Mailing address

19401 Susan Way
Sonora, CA 95370-9266
Phone (209) 588-7018

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

State licenses

LicenseStateTypeSpecialty
MSS-UWDAHLCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Old Oak Ranch Recovery Substance Abuse Rehabilitation Facility CurrentSince Sep 28, 2025 Accepting new patients

Locations

19401 Susan Way
Sonora, CA 95370
Phone (209) 588-6164

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1275406605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 SUSAN WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709266",
            "telephone_number": "209-588-7018",
            "fax_number": "209-396-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19331 SUSAN WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709209",
            "telephone_number": "209-588-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCE",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "credential": "RADT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-23",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MSS-UWDAHL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.