Individual provider Active NPI

Brandon C Bunker, M.D.

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1619216751
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35502 Issued in NE
Practice address
14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200
Phone
(402) 493-1212
Fax
(866) 363-5291
NPI assigned
Feb 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101265552 VA
Diagnostic Radiology Physician 2085R0202X 35502 NE Primary

Addresses

Primary practice location

14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200

Mailing address

14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200
Phone (402) 493-1212

Other practice location 1

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NE, IA, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220929000398 VA Practitioner - Diagnostic Radiology 8921484973 Reassigns benefits to 1 organization
I20230525001932 NE Practitioner - Diagnostic Radiology 8921484973 Reassigns benefits to 2 organizations
I20230707000568 IA Practitioner - Diagnostic Radiology 8921484973 Reassigns benefits to 1 organization
I20240426000323 TX Practitioner - Diagnostic Radiology 8921484973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtual Radiologic Professionals LLCGroup PAC ID 4981608817, 392 clinicians
Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians
Rosebud Indian Health ServiceGroup PAC ID 6901704055, 76 clinicians

Practice addresses (Care Compare)

10802 S 175TH Ave
Omaha, NE 68136-1909
Phone (952) 595-1100

2600 Outer Dr N
Sioux City, IA 51104-1585
Phone (402) 493-1212

2601 N Spruce St
Ogallala, NE 69153-2465
Phone (402) 493-1212

300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (317) 805-4647

400 Soldier Creek Dr
Rosebud, SD 57570-8502
Phone (918) 457-8945

5125 41St St
Columbus, NE 68601-9068
Phone (952) 595-1100

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (317) 805-4647

PO Box
Suite 400
Rosebud, SD 57570

Hospital & facility affiliations

  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078
  • Hawarden Regional Healthcare Hospital, Hawarden, IA, CCN 161311

Merit-based Incentive Payment System (MIPS)

Final score
97.03 of 100Reported as group
Quality
96.51
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
91.68
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
68.64
Promoting interoperability
91
Improvement activities
40
Cost
86.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35502NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Feb 21, 2024 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Apr 6, 2024 Accepting new patients
MCV Associated Physicians Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Apr 6, 2024 Accepting new patients
Rosebud Indian Health Service CurrentSince Feb 21, 2024 Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients

Locations

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1360368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1619216751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 FNB PKWY STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681547200",
            "telephone_number": "402-493-1212",
            "fax_number": "866-363-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 FNB PKWY STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681547200",
            "telephone_number": "402-493-1212",
            "fax_number": "866-363-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11995 Singletree Ln Ste 500",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553445349",
            "country_code": "US",
            "telephone_number": "952-595-1301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNKER",
        "first_name": "BRANDON",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-09",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101265552",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "35502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.