Organization Active NPI

Patrick Bunyi MD LLC

  • Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1598081945
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME68800 Issued in FL
Legal business name
PATRICK BUNYI MD LLC
Practice address
819 Townsend Blvd
Suite 4
Jacksonville, FL 32211-6132
Phone
(904) 374-3311
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Dr. Patrick Panajon Bunyi, MD
Title
Owner
Phone
(904) 374-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME68800 FL Primary

Addresses

Primary practice location

819 Townsend Blvd
Suite 4
Jacksonville, FL 32211-6132

Mailing address

819 Townsend Blvd
Suite 4
Jacksonville, FL 32211-6132
Phone (904) 374-3311

Other identifiers 1

IdentifierTypeStateIssuer
1871518787OtherFLNPI FOR PATRICK BUNYI, MD

National Provider Directory

National Provider Directory

Locations

6300 Arlington Rd
Jacksonville, FL 32211

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1598081945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 TOWNSEND BLVD",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322116132",
            "telephone_number": "904-374-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 TOWNSEND BLVD",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322116132",
            "telephone_number": "904-374-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK BUNYI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "BUNYI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "PANAJON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-374-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME68800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR PATRICK BUNYI, MD",
            "identifier": "1871518787",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.