Individual provider Active NPI

Alan C Bunger, PT

  • Physical Therapist
  • Johnson City, TN
National Provider Identifier
1306157268
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8687 Issued in TN
Practice address
2700 S Roan St Ste 425
Johnson City, TN 37601-7587
Phone
(423) 788-4636
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8687 TN Primary

Addresses

Primary practice location

2700 S Roan St Ste 425
Johnson City, TN 37601-7587

Mailing address

3013 Hackberry Dr
Jonesborough, TN 37659-7470
Phone (423) 788-4636

Other practice location 1

406 Roy Martin Rd
Suite 9
Gray, TN 37615-2244
Phone (423) 477-1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001002509 TN Practitioner - Physical Therapist in Private Practice 5698925170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2120 S Roan St
Suite 105
Johnson City, TN 37601-7675
Phone (423) 788-4636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8687TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fellowship Physical Therapy LLC Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Achieve Health and Wellness PastSince Jan 19, 2020 Accepting new patients

Locations

2120 S Roan St
Ste 105
Johnson City, TN 37601
Phone (423) 788-4636

2700 S Roan St
Ste 425
Johnson City, TN 37601
Phone (423) 212-3853

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1306157268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 HACKBERRY DR",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376597470",
            "telephone_number": "423-788-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S ROAN ST STE 425",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017587",
            "telephone_number": "423-788-4636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Roy Martin Rd",
            "address_2": "Suite 9",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "TN",
            "postal_code": "376152244",
            "country_code": "US",
            "telephone_number": "423-477-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNGER",
        "first_name": "ALAN",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.