Active NPI
Brian R Bunt, DPM
- Foot & Ankle Surgery Podiatrist
- Warrenton, VA
National Provider Identifier
1730165218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103000604
- Practice address
- 400B Hospital Dr
Warrenton, VA 20186-3026 - Phone
- (540) 347-1370
- Fax
- (540) 349-4801
- NPI assigned
- Dec 16, 2005
- Last updated
- Dec 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103000604 | VA | Primary |
Addresses
Primary practice location
400B Hospital Dr
Warrenton, VA 20186-3026
Mailing address
400B Hospital Dr
Warrenton, VA 20186-3026
Phone (540) 347-1370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009302166 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103000604 | VA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Oakton Foot Center LTD | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba T/a Fauquier Foot Health Ctr LTD
- Foot & Ankle Surgery Podiatrist
- Warrenton, VA
- NPI 1780866210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1730165218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400B HOSPITAL DR",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201863026",
"telephone_number": "540-347-1370",
"fax_number": "540-349-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400B HOSPITAL DR",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201863026",
"telephone_number": "540-347-1370",
"fax_number": "540-349-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNT",
"first_name": "BRIAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103000604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009302166",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.