Individual provider Active NPI

James Dean Bunker, M.D.

  • Dermatology Physician
  • North Platte, NE
National Provider Identifier
1487649869
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20039 Issued in NE
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

Updated by the provider on Aug 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
070008889OtherNERAILROAD MEDICARE NUMBER
20039OtherNENE MEDICAL LICENSE
31026OtherNEBC/BS PROVIDER NUMBER
470797269OtherNEUPREHS PROVIDER NUMBER
47079726900MedicaidNE
004736OtherNEAAD ID NUMBER
28D0913222OtherNECLIA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, McCook, NE, CCN 281363

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions1201
Skin biopsy152

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.

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

Verify at the official NPI Registry.