Bonnie Eugenia Muncy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L5062 Issued in TX

Practice address

700 Hospital Dr
Andrews, TX 79714-3638

Phone

(432) 523-6624

Fax

(432) 523-7901

NPI assigned

Aug 12, 2005

Last updated

Mar 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1669474391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HOSPITAL DR",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143638",
            "telephone_number": "432-523-6624",
            "fax_number": "432-523-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HOSPITAL DR",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143638",
            "telephone_number": "432-523-6624",
            "fax_number": "432-523-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCY",
        "first_name": "BONNIE",
        "middle_name": "EUGENIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5062",
            "primary": true
        },
        {
            "code": "2086H0002X",
            "taxonomy_group": "",
            "desc": "Surgery, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "L5062",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153320001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Mendoza, FNP-C
• Margaret Merriam, DO
• Bethany Molina, MS, RD, CSG, LD
• Carlos Guillermo Molina, DO
• Danette Moore
• Satish Nayak, MD PA
• Wyn Dinh Nguyen, MD
• Barbara Norris, ANP-C
• George G Olive, M.D.
• Anjelika Victoria Ortiz

• Family Medicine Physician in Andrews, TX
• Providers in Andrews, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.