Individual provider Active NPI

Haley Bunting

  • Plastic and Reconstructive Surgery Physician
  • Austin, TX
National Provider Identifier
1609262690
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
T6201 Issued in TX
Practice address
12201 Renfert Way Ste 100
Austin, TX 78758-5367
Phone
(512) 815-0123
Fax
(512) 861-6206
NPI assigned
Apr 7, 2015
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X T6201 TX
Plastic and Reconstructive Surgery Physician 2086S0122X T6201 TX Primary

Addresses

Primary practice location

12201 Renfert Way Ste 100
Austin, TX 78758-5367

Mailing address

8902 Currywood Dr
Austin, TX 78759-7310
Phone (713) 962-0324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20220812001836 TX Practitioner - Plastic and Reconstructive Surgery 2668872516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Georgetown University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Associates PAGroup PAC ID 9032361126, 8 clinicians

Practice addresses (Care Compare)

12201 Renfert Way
Suite 100
Austin, TX 78758-5367
Phone (512) 763-4545

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy43
Melanoma (skin cancer) excision23
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T6201TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Associates PA Plastic Surgery CurrentSince Sep 19, 2024 Accepting new patients
Plastic Surgery Associates PA Plastic Surgery CurrentSince Sep 19, 2024 Accepting new patients

Locations

12201 Renfert Way
Ste 100
Austin, TX 78758
Phone (512) 454-0341

1250 8th Ave
Ste 265
Fort Worth, TX 76104
Phone (682) 200-8580

Interoperability endpoints

  • Direct secure messaging: hbunting45976@direct.phhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1609262690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 CURRYWOOD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597310",
            "telephone_number": "713-962-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585367",
            "telephone_number": "512-815-0123",
            "fax_number": "512-861-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTING",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "T6201",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "T6201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.