Michael D Bumbach, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP 9258948 Issued in FL

Practice address

1111 NE 25TH Ave
Suite 302
Ocala, FL 34470-5675

Phone

(352) 622-2221

Fax

(352) 622-4193

NPI assigned

Jul 20, 2006

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbumbach204220@direct.shands.ufl.edu

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.

• Florida Clinical Practice Association Inc

  dba UF Health Physicians

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768
  NPD
• Florida Clinical Practice Association Inc

  dba UF Health Family Medicine Ocala Heath Brook

  • Durable Medical Equipment & Medical Supplies
  • Ocala, FL
  • NPI 1609529478
  NPD
• University of Florida

  dba Student Health Care Center

  • Student Health Clinic/Center
  • Gainesville, FL
  • NPI 1427031020
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1316967755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117500",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326117500",
            "telephone_number": "352-392-1161",
            "fax_number": "352-392-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 NE 25TH AVE",
            "address_2": "SUITE 302",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344705675",
            "telephone_number": "352-622-2221",
            "fax_number": "352-622-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMBACH",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9258948",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9258948",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308237700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjoran Bugauisan, DPT
• Building Successful Lives LLC
• Louise Marie Bullard, D.C.
• Cristina Bultron-Rodriguez, M.D.
• Tara Buman
• David Chambers Burdette, M.D.
• Lynda Maureen Burgess, APRN
• Amber Dawn Burgin, LCSW
• Paula Burgin, APRN
• Bianca Burgos-Ortiz

• Nurse Practitioner in Ocala, FL
• Providers in Ocala, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.