Bunyan Stephens Dudley, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

MD011965 Issued in TN

Practice address

507 Sandpiper Cir
Nashville, TN 37221-4387

Phone

(615) 570-2515

Fax

(615) 252-5296

NPI assigned

Aug 11, 2005

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

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

Merit-based Incentive Payment System (MIPS)

Final score

92.71 of 100Reported as group

Promoting interoperability

89

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tennessee Oncology PLLC

  • Hematology & Oncology Physician
  • Nashville, TN
  • NPI 1811955917

  Gynecologic Oncology

  Medicare reassignment NPD
• B Stephens Dudley MD PC

  • Specialist
  • Nashville, TN
  • NPI 1528126125
  NPD (past)
• Tennessee Oncology Pharmacy Dispensing

  • Non-Pharmacy Dispensing Site
  • Nashville, TN
  • NPI 1578181160
  NPD (past)
• Tennessee Oncology PLLC

  • Hematology & Oncology Physician
  • Nashville, TN
  • NPI 1225081912
  NPD (past)
• Tennessee Oncology PLLC

  • Gynecologic Oncology Physician
  • Nashville, TN
  • NPI 1609602473
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1609878586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SANDPIPER CIR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214387",
            "telephone_number": "615-570-2515",
            "fax_number": "615-252-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SANDPIPER CIR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214387",
            "telephone_number": "615-570-2515",
            "fax_number": "615-252-5296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Harding Pike",
            "address_2": "S&E Building Suite 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372052005",
            "country_code": "US",
            "telephone_number": "615-385-3751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "BUNYAN",
        "middle_name": "STEPHENS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": "MD011965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4169281",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30195001",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3019501",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3717275",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn E. Ducote, LCSW
• Julian Christopher Duda, M.D.
• Martha E Dudek, MS LCGC
• Rosemarie A Dudenhofer, M.D.
• Andrew Stephens Dudley
• Charles K Dudley, CRNA
• Drake Dudley, DDS
• Paige Dudley, MD
• Reginald Dudley
• Sheri Dudley, MSW

• Gynecologic Oncology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Gynecologic Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.