Michelle Ann Bunk I

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801087190 Issued in MI

Practice address

501 W University Dr
Rochester, MI 48307-1944

Phone

(248) 726-6989

NPI assigned

Jul 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• MB Wellness, LLC

  • Clinical Social Worker
  • Rochester, MI
  • NPI 1265165823
  NPD Authorized official

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1659980134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21128 STRAWBERRY HILLS DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442275",
            "telephone_number": "586-948-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W UNIVERSITY DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071944",
            "telephone_number": "248-726-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNK",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801087190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattia May Brunson
• Gina L Buccalo, MD
• Foster Jacob Buchanan
• Linda Marie-Latronica Bull, LLP
• Tracy Bullock, LMSW
• Christie Burke
• James Burmeister II
• Jenna Burns, FNP
• Larry J Byle, AUD, F.A.A.A
• Tierra Byrd, MD

• Social Worker in Rochester, MI
• Providers in Rochester, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.