NPIMap

Individual provider Active NPI

Jeffrey Todd Bunning, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Gastonia, NC
National Provider Identifier
1568501575
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2023-00754 Issued in NC
Practice address
2555 Court Dr Ste 270
Gastonia, NC 28054-2185
Phone
(704) 671-5313
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X 2023-00754 NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME161657 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2023-00754 NC Primary

Addresses

Primary practice location

2555 Court Dr Ste 270
Gastonia, NC 28054-2185

Mailing address

PO Box 741087
Atlanta, GA 30374-1087
Phone (954) 507-6780

Other practice location 1

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (954) 507-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, FL, NC4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100625000130 WA Practitioner - Pathology 1456482025 Reassigns benefits to 1 organization
I20200519003032 ID Practitioner - Pathology 1456482025 Reassigns benefits to 1 organization
I20230607000129 FL Practitioner - Pathology 1456482025 Reassigns benefits to 1 organization
I20230713004148 NC Practitioner - Pathology 1456482025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

1000 Caromont Pkwy
Belmont, NC 28012-0140
Phone (704) 834-2000

171 Fairview Rd
Mooresville, NC 28117-9500
Phone (704) 660-4000

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-00754NCMDHematology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Regional Laboratories Pathology Services, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 5, 2023 Accepting new patients
Pathmed Associates LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Multicare Health System CurrentSince Dec 31, 2019 Accepting new patients
Multicare Health System CurrentSince Dec 31, 2019 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince Jul 1, 2023 Accepting new patients
Multicare Health System CurrentSince Mar 1, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Caromont Medical Group Inc Clinical Pathology/Laboratory Medicine CurrentSince Jul 1, 2023 Accepting new patients
Pathology Services PS Clinical Pathology/Laboratory Medicine Past Accepting new patients

Locations

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

980 W Ironwood Dr
Ste 205
Coeur D Alene, ID 83814
Phone (208) 765-2610

1337 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 671-5313

2555 Court Dr
Ste 270
Gastonia, NC 28054
Phone (704) 671-7650

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

800 W 5th Ave
Ste 201
Spokane, WA 99204
Phone (509) 458-7076

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 11

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 8

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1568501575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741087",
            "telephone_number": "954-507-6780",
            "fax_number": "866-262-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COURT DR STE 270",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542185",
            "telephone_number": "704-671-5313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 S Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334621149",
            "country_code": "US",
            "telephone_number": "954-507-6780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNNING",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NC",
            "license": "2023-00754",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME161657",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2023-00754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.