Active NPI
Noah Adam Buncher, MD
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1619394152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS023189
- Practice address
- 1700 S Broad St Apt 301
Philadelphia, PA 19145-2340 - Phone
- (215) 467-5870
- NPI assigned
- Mar 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS023189 | PA | Primary |
Addresses
Primary practice location
1700 S Broad St Apt 301
Philadelphia, PA 19145-2340
Mailing address
236 Riverwoods Dr
New Hope, PA 18938-2246
Phone (267) 261-0454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS023189 | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1619394152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 RIVERWOODS DR",
"city": "NEW HOPE",
"state": "PA",
"postal_code": "189382246",
"telephone_number": "267-261-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S BROAD ST APT 301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191452340",
"telephone_number": "215-467-5870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCHER",
"first_name": "NOAH",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-22",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS023189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.