Robert Dwain Bundrick, L.P.C. (CANDIDATE)

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1922 N Eastern Ave
Moore, OK 73160-5605

Phone

(405) 735-5263

NPI assigned

Nov 3, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1457688012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CHAUTAUQUA AVE",
            "address_2": "CONDO 213",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730727734",
            "telephone_number": "405-201-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 N EASTERN AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605605",
            "telephone_number": "405-735-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDRICK",
        "first_name": "ROBERT",
        "middle_name": "DWAIN",
        "name_prefix": "Mr.",
        "credential": "L.P.C. (CANDIDATE)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shay Bruce
• James P. Bruner, MA, LPC
• Rachel Elizabeth Bryant, OTR/L
• Kathryn Buchanan
• Marissa Buckner, FNP-C
• Kylie Alexis Burch
• Sara Burchett, MASSAGE THERAPIST
• Eric Burd Jr.
• Elizabeth Lorayne Burkhart, O.D.
• Kari Lynn Burks

• Professional Counselor in Moore, OK
• Providers in Moore, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.