Individual provider Active NPI

Edward Earl Bunch, M.D.

  • Pediatrics Physician
  • Harker Heights, TX
National Provider Identifier
1285702563
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H3658 Issued in TX
Practice address
415 E FM 2410 Rd
Unit 2818
Harker Heights, TX 76548-2934
Phone
(254) 690-2338
Fax
(254) 690-2349
NPI assigned
Dec 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X H3658 TX Primary

Addresses

Primary practice location

415 E FM 2410 Rd
Unit 2818
Harker Heights, TX 76548-2934

Mailing address

415 E FM 2410 Rd
Unit 2818
Harker Heights, TX 76548-2934
Phone (254) 690-2338

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

LicenseStateTypeSpecialty
H3658TXMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1285702563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E FM 2410 RD",
            "address_2": "UNIT 2818",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482934",
            "telephone_number": "254-690-2338",
            "fax_number": "254-690-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E FM 2410 RD",
            "address_2": "UNIT 2818",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482934",
            "telephone_number": "254-690-2338",
            "fax_number": "254-690-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "EDWARD",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H3658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.