Alec Trevor Baunach

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P24791 Issued in NC

Practice address

1901 Mooney St
Winston Salem, NC 27103-3027

Phone

(336) 716-8091

Fax

(336) 716-9253

NPI assigned

May 20, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fairview Express Care

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1053952606

  MN

  Medicare reassignment Care Compare group NPD
• Fairview Express Care

  • General Practice Physician
  • Edina, MN
  • NPI 1831707207
  Care Compare group NPD
• Fairview Express Care

  • Clinic/Center
  • Hudson, WI
  • NPI 1467159210
  Care Compare group
• Fairview Express Care

  • Cardiovascular Disease Physician
  • Minneapolis, MN
  • NPI 1629224258
  Care Compare group
• Fairview Express Care

  • Eyewear Supplier
  • Eagan, MN
  • NPI 1750833562
  Care Compare group
• Fairview Express Care

  • Eyewear Supplier
  • Brooklyn Park, MN
  • NPI 1841472644
  Care Compare group
• Fairview Express Care

  • Eyewear Supplier
  • Andover, MN
  • NPI 1861674665
  Care Compare group
• Fairview Express Care

  • Eyewear Supplier
  • Fridley, MN
  • NPI 1942482740
  Care Compare group
• Fairview Express Care

  • Eyewear Supplier
  • Fridley, MN
  • NPI 1518140706
  NPD

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1750173340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MOONEY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033027",
            "telephone_number": "336-716-8091",
            "fax_number": "336-716-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MOONEY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033027",
            "telephone_number": "336-716-8091",
            "fax_number": "336-716-9253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 University Ave SE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554143205",
            "country_code": "US",
            "telephone_number": "612-672-6697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUNACH",
        "first_name": "ALEC",
        "middle_name": "TREVOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-20",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24791",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crishona Battle, FNP-BC
• Kathryn Lee Battle, PA-C
• Kierstin Baucom
• Scott Allan Bauer, APRN-BC
• Loren Alec Bauman, MD
• Baust and Joyce PLLC
• Edward McArthur Baust III, DMD
• Vanessa Baute
• Girlie Bautista
• Punit Baveja, MD

• All providers in Winston Salem, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.