The Buncke Clinic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

134661 Issued in CA

Legal business name

THE BUNCKE CLINIC

Practice address

45 Castro St Ste 121
San Francisco, CA 94114-1019

Phone

(415) 565-6136

NPI assigned

Feb 23, 2015

Last updated

Feb 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Buncke, MDNPI 1396736633

Title

Director, the Buncke Clinic

Phone

(415) 565-6136

Specialties & licenses 1

Addresses

Tax ID family

Buncke Medical Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Buncke Medical Clinic Inc.

  • Plastic and Reconstructive Surgery Physician
  • San Francisco, CA
  • NPI 1750371571
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Millette Buncke, MD

  • Plastic and Reconstructive Surgery Physician
  • San Francisco, CA
  • NPI 1396736633
  NPD Authorized official

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1740672047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST STE 121",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141019",
            "telephone_number": "415-565-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST STE 121",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141019",
            "telephone_number": "415-565-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BUNCKE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "BUNCKE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR, THE BUNCKE CLINIC",
        "authorized_official_telephone_number": "415-565-6136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "134661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.