Dwight Earl Bundy, DO MPH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

965 Issued in WV

Practice address

400 N Jefferson St
Lewisburg, WV 24901

Phone

(304) 645-3220

Fax

(304) 645-4103

NPI assigned

Feb 1, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• West Virginia School of Osteopathic Medicine Clinic Inc

  • Rural Health Clinic/Center
  • Lewisburg, WV
  • NPI 1013496991

  Family Medicine

  NPD
• West Virginia School of Osteopathic Medicine Clinic Inc D/B/a Robert C. Byrd Clinic

  • Family Medicine Physician
  • Lewisburg, WV
  • NPI 1871539296
  NPD

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1578534962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N JEFFERSON ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "24901",
            "telephone_number": "304-645-3220",
            "fax_number": "304-645-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N JEFFERSON ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "24901",
            "telephone_number": "304-645-3220",
            "fax_number": "304-645-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "DWIGHT",
        "middle_name": "EARL",
        "credential": "DO MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051233000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elby M Bryant
• Sabrina Elizabeth Bryant, RN
• Leslie K Buchanan, D.O.
• Wanda J. Buchanan, ST
• Karolyn Liane Buckridee, MD
• Dennis A. Burke, D.O.
• Amanda Beth Coleman Burns, RN, BSN
• Debra M Burns
• Kendra Renee Burns, FNP-BC
• Eleanor Butler

• Family Medicine Physician in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.