Bryan C Bunn, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2013-01771 Issued in NC

Practice address

113 Virginia Rd
Edenton, NC 27932-1446

Phone

(252) 482-3047

Fax

(252) 482-5061

NPI assigned

Apr 7, 2010

Last updated

Jan 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Family Practice

Education

Brody School of Medicine at East Carolina University, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Health Services Home health agency, Washington, NC, CCN 347329
• Albemarle Home Care and Hospice Home health agency, Elizabeth City, NC, CCN 347017
• Community Hospice LLC Hospice, New Bern, NC, CCN 341586
• Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318
• Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
• Ecu Health Bertie Hospital Hospital, Windsor, NC, CCN 341304

Merit-based Incentive Payment System (MIPS)

Final score

96.95 of 100Reported as apm

Quality

82.44

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbunn72808@direct.vidanthealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospice, LLC

  dba Community Home Care & Hospice

  • Community Based Hospice Care Agency
  • New Bern, NC
  • NPI 1891736336
  Care Compare affiliation
• East Carolina Health - Chowan Inc

  dba ECU Health Chowan Hospital

  • Critical Access Hospital
  • Edenton, NC
  • NPI 1477541183
  Care Compare affiliation
• East Carolina Health-Bertie

  dba ECU Health Bertie Hospital

  • Critical Access Hospital
  • Windsor, NC
  • NPI 1013999705
  Care Compare affiliation
• Eastern Carolina Home Health Agency, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Washington, NC
  • NPI 1750318614
  Care Compare affiliation
• Msa Home Health and Hospice of NC Inc

  dba Albemarle Home Care and Hospice

  • Home Health Agency
  • Elizabeth City, NC
  • NPI 1588037980
  Care Compare affiliation
• Sentara Albemarle Regional Medical Center

  dba Sentara Albemarle Medical Center

  • General Acute Care Hospital
  • Elizabeth City, NC
  • NPI 1245211168
  Care Compare affiliation

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1568787141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 VIRGINIA RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321446",
            "telephone_number": "252-482-3047",
            "fax_number": "252-482-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 VIRGINIA RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321446",
            "telephone_number": "252-482-3047",
            "fax_number": "252-482-5061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-847-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNN",
        "first_name": "BRYAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-01771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568787141",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbunn72808@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Veronica Antoinette Brentjens, MD
• Jenny Bright, PHARMD
• Britthaven of Edenton, Inc. (Britthaven of Edenton)
• Ian Luke Bryan, M.D.
• Joseph Henry Bunch, MA
• Courtney Layne Butler, NCCPSS
• Carolina Medical & Management Consultants, PLLC
• Cheryl S Carroll, CRNA
• Kimberly Jones Chalot, NP-C
• Jasmine C. Chesson, LPC

• Family Medicine Physician in Edenton, NC
• Providers in Edenton, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.

Verify at the official NPI Registry.