NPIMap

Individual provider Active NPI

Robert Francis Bundy Jr., M.D.

  • Family Medicine Physician
  • Mooresville, NC
National Provider Identifier
1518946458
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9401384 Issued in NC
Practice address
106 Corporate Park Dr.
Suite 200 & 300
Mooresville, NC 28117-7134
Phone
(704) 235-9090
Fax
(704) 235-9101
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9401384 NC Primary

Addresses

Primary practice location

106 Corporate Park Dr.
Suite 200 & 300
Mooresville, NC 28117-7134

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

130 Plantation Ridge Dr
Suite 100
Mooresville, NC 28117-9238
Phone (704) 316-1635

Other practice location 2

130 Plantation Ridge Dr
Suite 100
Mooresville, NC 28117-9238
Phone (704) 316-1635

Other practice location 3

150 Fairview Rd Ste 230
Mooresville, NC 28117
Phone (423) 343-7018

Other identifiers 1

IdentifierTypeStateIssuer
8919757MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RBUNDY5369@DIRECT.NOVANTHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124001012 NC Practitioner - Family Practice 0547210973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

106 Corporate Park Dr
Suite 200
Mooresville, NC 28117-6956
Phone (704) 235-9090

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

548 White Oaks Dr
Salisbury, NC 28147-8183
Phone (704) 636-0271

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Jul 16, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

106 Corporate Park Dr
#200300
Mooresville, NC 28117
Phone (704) 235-9090

106 Corporate Park Dr
Ste 200
Mooresville, NC 28117
Phone (704) 235-9090

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1518946458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CORPORATE PARK DR.",
            "address_2": "SUITE 200 & 300",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177134",
            "telephone_number": "704-235-9090",
            "fax_number": "704-235-9101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Plantation Ridge Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179238",
            "country_code": "US",
            "telephone_number": "704-316-1635",
            "fax_number": "704-316-1636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Plantation Ridge Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179238",
            "country_code": "US",
            "telephone_number": "704-316-1635",
            "fax_number": "704-316-1636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Fairview Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "28117",
            "country_code": "US",
            "telephone_number": "423-343-7018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9401384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8919757",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RBUNDY5369@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "130 Plantation Ridge Dr",
            "address_2": "Suite 100",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281179238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.