Theodore Bunn III

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

25MG00106700 Issued in NJ

Practice address

1050 Kings Hwy N
Suite 101
Cherry Hill, NJ 08034-1909

Phone

(856) 438-5354

Fax

(856) 438-5691

NPI assigned

Jul 26, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1356697403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 KINGS HWY N",
            "address_2": "SUITE 101",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341909",
            "telephone_number": "856-438-5354",
            "fax_number": "856-438-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 KINGS HWY N",
            "address_2": "SUITE 101",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341909",
            "telephone_number": "856-438-5354",
            "fax_number": "856-438-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNN",
        "first_name": "THEODORE",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NJ",
            "license": "25MG00106700",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "F03222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysia R Bugg, DPT
• Khuy Bui
• Karen Garrol Bulaong, PA-C
• Peter Bulik, D.O.
• Laderrick Bullock, D.M.D.
• Jodetta Bunyon
• Hatice Burakgazi Yilmaz, MD, MS
• Robert Buratt
• Lydia Burgess
• Lynn Mary Burgess, RN

• Hearing Instrument Specialist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Hearing Instrument Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.