Active NPI
Richard M Bunt, M.D.
- Psychiatry Physician
- Palm Bay, FL
National Provider Identifier
1376619072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME046834
- Practice address
- 4031 Dixie Hwy NE
Palm Bay, FL 32905-3682 - Phone
- (321) 622-3222
- Fax
- (321) 622-3203
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME046834 | GA | Primary |
Addresses
Primary practice location
4031 Dixie Hwy NE
Palm Bay, FL 32905-3682
Mailing address
4031 Dixie Hwy NE
Palm Bay, FL 32905-3682
Phone (321) 622-3222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00815746C | Medicaid | GA | |
| 278284700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of New York Downstate Medical Center, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4031 Dixie Hwy NE
Palm Bay, FL 32905-3682
Phone (321) 622-3222
911 Columbus Ave
Melbourne, FL 32901-4605
Phone (321) 622-3222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME046834 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Behavioral Care LLC | Current | Accepting new patients | |
| Atlanta Psychiatric Speciliasts, P.C. | Past | Accepting new patients | |
| Atlantic Psychiatric Centers, Inc. | Psychiatry | Past | Accepting new patients |
Locations
911 Columbus Ave
Melbourne, FL 32901
Phone (321) 622-3222
4031 Dixie Hwy NE
Palm Bay, FL 32905
Phone (321) 622-3222
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Prescribing (Medical) Psychologist
- Melbourne, FL
- NPI 1760772032
-
- Psychiatry Physician
- Palm Bay, FL
- NPI 1386691418
-
- Specialist
- Atlanta, GA
- NPI 1831382357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1376619072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4031 DIXIE HWY NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329053682",
"telephone_number": "321-622-3222",
"fax_number": "321-622-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4031 DIXIE HWY NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329053682",
"telephone_number": "321-622-3222",
"fax_number": "321-622-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNT",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "ME046834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00815746C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278284700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.