Thomas L Bunnow Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200400018 Issued in NC

Practice address

45 Plateau St
Suite 250
Bryson City, NC 28713

Phone

(828) 488-4205

Fax

(828) 488-4240

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD
• Carolina Mountain Medical

  • Specialist
  • Bryson City, NC
  • NPI 1568689826
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1639130875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PLATEAU ST",
            "address_2": "SUITE 250",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "28713",
            "telephone_number": "828-488-4205",
            "fax_number": "828-488-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PLATEAU ST",
            "address_2": "SUITE 250",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "28713",
            "telephone_number": "828-488-4205",
            "fax_number": "828-488-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNOW",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200400018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891354K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryson City Health Holdings, LLC (Bryson City Living Center)
• Bryson City Living Center, LLC
• Bryson City Note Holdings, LLC (Bryson Senior Living)
• Bryson City Pharmacy Inc (Bryson City Pharmacy)
• Jennifer S Bunnow, MD
• Jordan Haley Cain
• Emily Faith Campbell, DO
• Lauren Elizabeth Carnes, MPT
• Carolina Mountain Medical
• David Randall Castor, M.D.

• Family Medicine Physician in Bryson City, NC
• Providers in Bryson City, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.