Julius Punzalan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2002029294 Issued in MO

Practice address

35629 Highway 72 BLDG 3
Salem, MO 65560-7217

Phone

(573) 729-8000

Fax

(573) 729-8001

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chelsey Lynn Byergo, NP

  • Family Nurse Practitioner
  • Saint Joseph, MO
  • NPI 1528631280
  Medicare reassignment

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.

• Metropolis Medical Partners PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Novi, MI
  • NPI 1124489257

  MO

  Medicare reassignment NPD
• Physician Groups LC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1285664268

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1366513376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655600719",
            "telephone_number": "573-729-8000",
            "fax_number": "573-729-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35629 HIGHWAY 72 BLDG 3",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655607217",
            "telephone_number": "573-729-8000",
            "fax_number": "573-729-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNZALAN",
        "first_name": "JULIUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2002029294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phelps County Board for Developmental Disabilities
• Phelps County Regional Medical Center
• Haydn Burk Powell Jr.
• Yvonne M Prince, M.D.
• Kyle Privett, LPC
• Kimberly Ann Purcell-Houck
• QMB Radiology LLC
• Radex, Inc
• Emmett Ray Reary, D.C.
• Redbud Investment Group LLC

• Internal Medicine Physician in Salem, MO
• Providers in Salem, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.