Walter G. Bunnell, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME37597 Issued in FL

Practice address

1881 Wellness Way Ste 80
Tallahassee, FL 32308-5976

Phone

(850) 402-5454

Fax

(850) 402-5451

NPI assigned

Oct 19, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Professional Park Pediatrics P.a.

  • Pediatrics Physician
  • Tallahassee, FL
  • NPI 1841289204
  NPD (past) Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1467441675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 WELLNESS WAY STE 80",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085976",
            "telephone_number": "850-402-5454",
            "fax_number": "850-402-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 WELLNESS WAY STE 80",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085976",
            "telephone_number": "850-402-5454",
            "fax_number": "850-402-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNELL",
        "first_name": "WALTER",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME37597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841289204",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069805900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Louise Bukowick
• Hailey Elizabeth Bull
• Brianna Lynn Bullard, PA-C
• Carole Lee Bullock, RD, LD/N, CDE
• Caroline Bumgarner, M.S.
• Kennedy Bunyan
• Gregorie Ann Elie Bupe, MD
• Audra Leigh Martin Burch, M.S. CCC-SLP
• Callie Burch, DNP, APRN, FNP-BC
• Heather K. Burch, DMD, MS

• Pediatrics Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.