Corbin Bunnage, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-267 Issued in ID

Practice address

740 S Woodruff Ave
Idaho Falls, ID 83401-5285

Phone

(208) 542-9111

Fax

(208) 542-9114

NPI assigned

Nov 22, 2006

Last updated

Mar 7, 2023By the provider in NPPES

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

Enrolled in ID, UT, WY3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sterling Provider GroupGroup PAC ID 2264773373, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sterling Provider Group

  • Rural Health Clinic/Center
  • Rexburg, ID
  • NPI 1407564123

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Chubbuck, ID
  • NPI 1477200244

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Burley, ID
  • NPI 1659915593

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Hailey, ID
  • NPI 1912541863

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Idaho Falls, ID
  • NPI 1952923765

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Evanston, WY
  • NPI 1164044962

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Richmond, UT
  • NPI 1164066015

  5% Or Greater Direct Ownership Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sterling Provider Group

  • Urgent Care Clinic/Center
  • Idaho Falls, ID
  • NPI 1205300407

  UT, WY

  Medicare reassignment Care Compare group NPD Authorized official
• Sterling Healthcare

  • Urgent Care Clinic/Center
  • Idaho Falls, ID
  • NPI 1558759803
  Authorized official Same address or phone
• Sterling Physician Group PLLC

  • Urgent Care Clinic/Center
  • Idaho Falls, ID
  • NPI 1487994430
  Authorized official Same address or phone
• Sterling Provider Group

  • Urgent Care Clinic/Center
  • Lewiston, ID
  • NPI 1144975152
  Authorized official Same address or phone
• Sterling Provider Group

  • Urgent Care Clinic/Center
  • Nampa, ID
  • NPI 1215706452
  Authorized official Same address or phone
• Sterling Provider Group

  • Urgent Care Clinic/Center
  • Boise, ID
  • NPI 1265287726
  Authorized official Same address or phone
• Sterling Provider Group

  • Urgent Care Clinic/Center
  • Meridian, ID
  • NPI 1316793615
  Authorized official Same address or phone
• Sterling Provider Group

  • Urgent Care Clinic/Center
  • Garden City, ID
  • NPI 1376312520
  Authorized official Same address or phone
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Rexburg, ID
  • NPI 1407564123
  Authorized official Same address or phone
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Chubbuck, ID
  • NPI 1477200244
  Authorized official Same address or phone
• Sterling Provider Group

  • Rural Health Clinic/Center
  • Burley, ID
  • NPI 1659915593
  Authorized official Same address or phone
• Sterling Provider Group

  • Urgent Care Clinic/Center
  • Post Falls, ID
  • NPI 1699403469
  Authorized official Same address or phone

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447325485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SOUTH UTAH AVENUE #100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83402",
            "telephone_number": "208-542-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015285",
            "telephone_number": "208-542-9111",
            "fax_number": "208-542-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNAGE",
        "first_name": "CORBIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-03-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-267",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Lynn Bufford, LPC
• Building a Life Worth Living, LLC
• Martha I Buitrago, MD
• Burgundie Bullock, PHARMD
• Kristan M Bullock, M.S., CCC-SLP
• Susan Lynn Bunnell, MD
• Alison Burau, LSCW
• Brindee Cooley Burchfield, NNP
• Sherri Lyn Burgener, M.S., CCC-SLP
• Lisa Marie Burger, ACAGNP-C

• Medical Physician Assistant in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.