Active NPI
Lee Martin Bunemann, M.D.
- Pediatrics Physician
- High Point, NC
National Provider Identifier
1649334582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 39557
- Practice address
- 404 Westwood Ave
Ste 103
High Point, NC 27262-4315 - Phone
- (336) 889-6564
- Fax
- (336) 889-5252
- NPI assigned
- Dec 21, 2006
- 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 | 39557 | NC | Primary |
Addresses
Primary practice location
404 Westwood Ave
Ste 103
High Point, NC 27262-4315
Mailing address
404 Westwood Ave
Ste 103
High Point, NC 27262-4315
Phone (336) 889-6564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8919872 | Medicaid | NC |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39557 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649334582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 WESTWOOD AVE",
"address_2": "STE 103",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624315",
"telephone_number": "336-889-6564",
"fax_number": "336-889-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 WESTWOOD AVE",
"address_2": "STE 103",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624315",
"telephone_number": "336-889-6564",
"fax_number": "336-889-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNEMANN",
"first_name": "LEE",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "39557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8919872",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.