Active NPI
James Dean Bunker, M.D.
- Dermatology Physician
- North Platte, NE
National Provider Identifier
1487649869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 20039
- Practice address
- 825 S Willow St
North Platte, NE 69101-5279 - Phone
- (308) 534-1700
- Fax
- (308) 534-8689
- NPI assigned
- Sep 13, 2005
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 20039 | NE | Primary |
Addresses
Primary practice location
825 S Willow St
North Platte, NE 69101-5279
Mailing address
825 S Willow St
North Platte, NE 69101-5279
Phone (308) 534-1700
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070008889 | Other | NE | RAILROAD MEDICARE NUMBER |
| 20039 | Other | NE | NE MEDICAL LICENSE |
| 31026 | Other | NE | BC/BS PROVIDER NUMBER |
| 470797269 | Other | NE | UPREHS PROVIDER NUMBER |
| 47079726900 | Medicaid | NE | |
| 004736 | Other | NE | AAD ID NUMBER |
| 28D0913222 | Other | NE | CLIA CERTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041102000839 | NE | Practitioner - Dermatology | 0345202297 | Practice locations: McCook, NE; North Platte, NE |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Colorado School of Medicine, Denver, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1301 E H St
MC Cook, NE 69001-3482
Phone (308) 344-8285
825 S Willow
North Platte, NE 69101-5279
825 S Willow St
North Platte, NE 69101-5279
Hospital & facility affiliations
- Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
| Removal of skin lesions | 1201 |
| Skin biopsy | 152 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- McCook, NE
- NPI 1841204500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1487649869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 S WILLOW ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015279",
"telephone_number": "308-534-1700",
"fax_number": "308-534-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 S WILLOW ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015279",
"telephone_number": "308-534-1700",
"fax_number": "308-534-8689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNKER",
"first_name": "JAMES",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NE",
"license": "20039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "070008889",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NE MEDICAL LICENSE",
"identifier": "20039",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NUMBER",
"identifier": "31026",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPREHS PROVIDER NUMBER",
"identifier": "470797269",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47079726900",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAD ID NUMBER",
"identifier": "004736",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA CERTIFICATION NUMBER",
"identifier": "28D0913222",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.