Active NPI
Brandon Michael Bunkley
- Technician
- Shaker Heights, OH
National Provider Identifier
1578305512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- Practice address
- 3428 Ashby Rd
Shaker Heights, OH 44120-4218 - Phone
- (216) 758-1304
- NPI assigned
- Jun 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | Primary |
Addresses
Primary practice location
3428 Ashby Rd
Shaker Heights, OH 44120-4218
Mailing address
3428 Ashby Rd
Shaker Heights, OH 44120-4218
Phone (216) 758-1304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1578305512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3428 ASHBY RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441204218",
"telephone_number": "216-758-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3428 ASHBY RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441204218",
"telephone_number": "216-758-1304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNKLEY",
"first_name": "BRANDON",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-11",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.