Robert W Bundtzen, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD2056 Issued in AK

Practice address

4120 Laurel Street
Suite 204
Anchorage, AK 99508

Phone

(907) 561-4362

Fax

(907) 563-4498

NPI assigned

Feb 27, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in AK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22880/brand/1/csg/1/fhir/r4

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.

• Adl Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Anchorage, AK
  • NPI 1346230984
  NPD (past)
• Dialysis Associates of Alaska, LLC

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1912013160
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1528034733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 LAUREL STREET",
            "address_2": "SUITE 204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-561-4362",
            "fax_number": "907-563-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 LAUREL STREET",
            "address_2": "SUITE 204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-561-4362",
            "fax_number": "907-563-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDTZEN",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AK",
            "license": "MD2056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2056",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clyde A Bullion, PAC
• Julie Bullock
• Lillie Demarest Bullock
• Rovennia L. Bullock
• Rafael Bultron, CDC1
• Marisa C Bune, APRN, NP-C
• Taylor Maree Buness, OTR/L
• Deirdre Bunn, OTR
• Bunny'S Assisted Living, LLC
• Tamia Yardlee Bunton

• Infectious Disease Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Infectious Disease Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.