Robert L. Bunger, ATC
Individual provider Active NPI Athletic Trainer · Whitewater, MO
NPI 1306875802 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306875802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 109627 (MO)
- Practice address
- 262 County Road 377
Whitewater, MO 63785-5965 - Phone
- (573) 794-2085
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109627 | MO | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 109627 | MO | Yes |
Addresses
Primary practice location
262 County Road 377
Whitewater, MO 63785-5965
Mailing address
262 County Road 377
Whitewater, MO 63785-5965
Phone (573) 794-2085
Other providers in Whitewater, MO
All providers in Whitewater, MO · Athletic Trainer in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.