Active NPI
Herbert H Bunchman II, M.D.
- Specialist
- Mesa, AZ
National Provider Identifier
1487633186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8713
- Practice address
- 1520 S Dobson Rd
Suite 314
Mesa, AZ 85202-4725 - Phone
- (480) 833-5200
- Fax
- (480) 833-2967
- NPI assigned
- Jan 11, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 8713 | AZ | Primary |
Addresses
Primary practice location
1520 S Dobson Rd
Suite 314
Mesa, AZ 85202-4725
Mailing address
1520 S Dobson Rd
Suite 314
Mesa, AZ 85202-4725
Phone (480) 833-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer E Boll MD Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1487633186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 S DOBSON RD",
"address_2": "SUITE 314",
"city": "MESA",
"state": "AZ",
"postal_code": "852024725",
"telephone_number": "480-833-5200",
"fax_number": "480-833-2967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 S DOBSON RD",
"address_2": "SUITE 314",
"city": "MESA",
"state": "AZ",
"postal_code": "852024725",
"telephone_number": "480-833-5200",
"fax_number": "480-833-2967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCHMAN",
"first_name": "HERBERT",
"middle_name": "H",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "8713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.