Organization Active NPI

Robert J. Bunge, M.D., PSC

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1386860096
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
22523 Issued in KY
Legal business name
ROBERT J. BUNGE, M.D., PSC
Practice address
3121 Wall St
Lexington, KY 40513-1711
Phone
(859) 223-6700
Fax
(859) 223-5202
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Robert J. Bunge, M.D.
Title
President
Phone
(859) 223-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 22523 KY Primary

Addresses

Primary practice location

3121 Wall St
Lexington, KY 40513-1711

Mailing address

3121 Wall St
Lexington, KY 40513-1711
Phone (859) 223-6700

Other identifiers 3

IdentifierTypeStateIssuer
1396727079OtherKYINDIVIDUAL PROVIDER NPI
000000048820OtherKYANTHEM
64225238MedicaidKY

National Provider Directory

National Provider Directory

Locations

3121 Wall St
Lexington, KY 40513
Phone (859) 223-6700

870 Corporate Dr
Ste 200
Lexington, KY 40503
Phone (859) 223-6700

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1386860096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 WALL ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131711",
            "telephone_number": "859-223-6700",
            "fax_number": "859-223-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 WALL ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131711",
            "telephone_number": "859-223-6700",
            "fax_number": "859-223-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. BUNGE, M.D., PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "BUNGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-223-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "22523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1396727079",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000048820",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64225238",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.