Active NPI
Phillip C. Bunton, PHYSICIAN ASSISTANT
- Physician Assistant
- Madison, WI
National Provider Identifier
1336113729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 845-023
- Practice address
- 3110 Mitchell St
Madison, WI 53704-2529 - Phone
- (608) 245-4567
- Fax
- (608) 245-4628
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 845-023 | WI | Primary |
Addresses
Primary practice location
3110 Mitchell St
Madison, WI 53704-2529
Mailing address
3110 Mitchell St BLDG 500
P.O. Box 2591
Madison, WI 53704-2529
Phone (608) 245-4684
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 845-023 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1336113729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 MITCHELL ST BLDG 500",
"address_2": "P.O. BOX 2591",
"city": "MADISON",
"state": "WI",
"postal_code": "537042529",
"telephone_number": "608-245-4684",
"fax_number": "608-245-4628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 MITCHELL ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537042529",
"telephone_number": "608-245-4567",
"fax_number": "608-245-4628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNTON",
"first_name": "PHILLIP",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "845-023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.