Albert Lee Bundy, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

52843 Issued in MA

Practice address

55 Pond Ave
Suite 201E
Brookline, MA 02445-7102

Phone

(617) 232-4600

Fax

(617) 232-4405

NPI assigned

Feb 1, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Boston Ultrasound Consultants PC

  • Diagnostic Radiology Physician
  • Brookline, MA
  • NPI 1508975657
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679544167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39A SYMPHONY RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021154004",
            "telephone_number": "617-262-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 POND AVE",
            "address_2": "SUITE 201E",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457102",
            "telephone_number": "617-232-4600",
            "fax_number": "617-232-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "ALBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "52843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6192386",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guy Jerome Buckle, MD
• Alyse Buckley
• Debra A. Buduo, O.D.
• Ethel C Bullitt, M.D.
• Martha S Bullock, MSW
• Bruce Willard Bunnell, MD
• Caroline Burbank, PMHNP-BC
• Augusta Claire Burhans
• Philip R. Burke, MD, MPH
• Robert Brian Burke, LATC, EMT ,LMT

• Diagnostic Radiology Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Diagnostic Radiology Physician in Massachusetts

• 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.

Verify at the official NPI Registry.