John Clark Bundren, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

13630 Issued in OK

Practice address

4444 E. 41St St
3Rd Floor,Ste B
Tulsa, OK 74135-2527

Phone

(918) 582-0721

Fax

(918) 582-4751

NPI assigned

Jan 26, 2006

Last updated

Oct 27, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: j.bundren@direct.stjohnhealthsystem.com

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.

• J Clark Bundren, M.D., PC

  • Gynecology Physician
  • Tulsa, OK
  • NPI 1013199157
  NPD (past) Authorized official

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193443200000",
    "number": "1649240045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268838",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268838",
            "telephone_number": "918-660-3632",
            "fax_number": "918-660-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 E. 41ST ST",
            "address_2": "3RD FLOOR,STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352527",
            "telephone_number": "918-582-0721",
            "fax_number": "918-582-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDREN",
        "first_name": "JOHN",
        "middle_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "13630",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OK",
            "license": "13630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solmaz Bulut
• Christina Joan Bumgarner
• Melinda Jo Bumpers
• Krystie Bunch
• Rodney Damon Bunch
• Robin Rachel Bunn, NP-C
• Craig E. Buntemeyer, D.D.S.
• Skyler Dalton Buoy
• Amanda Burch
• Amanda Burch, APRN-CNS

• Reproductive Endocrinology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Reproductive Endocrinology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.