Active NPI
Ellen F Bunch, MD, FIM, BSE, BAA
- Family Medicine Physician
- Prescott, AZ
National Provider Identifier
1730289380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32266
- Practice address
- 1530 W Cliff Rd
Prescott, AZ 86305 - Phone
- (928) 777-8880
- Fax
- (928) 777-8884
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32266 | AZ | Primary |
Addresses
Primary practice location
1530 W Cliff Rd
Prescott, AZ 86305
Mailing address
1530 W Cliff Rd
Prescott, AZ 86305
Phone (928) 777-8880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 21, 2014 through Jul 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32266 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellen F Bunch MD PLLC | Current | Accepting new patients | |
| Embry Riddle Wellness Center | Past | Accepting new patients |
Locations
1456 W Gurley St
Prescott, AZ 86305
Phone (928) 777-8880
Interoperability endpoints
- ellen.bunch@220332220940292.direct.elationemr.com
Organizations & group practices 2
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.
-
- Adult Medicine Physician
- Prescott, AZ
- NPI 1023750684
-
- General Practice Physician
- Prescott, AZ
- NPI 1104166727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1730289380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 W CLIFF RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86305",
"telephone_number": "928-777-8880",
"fax_number": "928-777-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 W CLIFF RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86305",
"telephone_number": "928-777-8880",
"fax_number": "928-777-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "ELLEN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD, FIM, BSE, BAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "32266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.