Active NPI
Linda C Bunch, MD
- Internal Medicine Physician
- Monroe, LA
National Provider Identifier
1285610279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 018178
- Practice address
- 2221 Justice St
Monroe, LA 71201-3619 - Phone
- (318) 388-0114
- Fax
- (318) 388-0954
- NPI assigned
- Dec 21, 2005
- Reactivated
- Oct 11, 2007
- Last updated
- Feb 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 018178 | LA | Primary |
Addresses
Primary practice location
2221 Justice St
Monroe, LA 71201-3619
Mailing address
2221 Justice St
Monroe, LA 71201-3619
Phone (318) 388-0114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1354708 | Medicaid | LA |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018178 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda C Bunch MD Apmc | Internal Medicine | Current | Accepting new patients |
| LCB Management LLC | Past | Accepting new patients | |
| Health Management of Arkansas | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1285610279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 JUSTICE ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712013619",
"telephone_number": "318-388-0114",
"fax_number": "318-388-0954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 JUSTICE ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712013619",
"telephone_number": "318-388-0114",
"fax_number": "318-388-0954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "LINDA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2012-02-06",
"deactivation_date": "2007-08-01",
"reactivation_date": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "018178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1354708",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.