Individual provider Active NPI

Eric Reagan Bunch, PA-C

  • Physician Assistant
  • Greenville, SC
National Provider Identifier
1780197061
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2848 Issued in SC
Practice address
701 Grove Rd
Greenville, SC 29605
Phone
(864) 455-7899
Fax
(864) 455-5474
NPI assigned
Nov 9, 2017
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2848 SC Primary

Addresses

Primary practice location

701 Grove Rd
Greenville, SC 29605

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6328

Other practice location 1

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

Other practice location 2

2555 Boiling Springs Rd
Boiling Springs, SC 29316-6624
Phone (864) 305-3000

Other practice location 3

2400 Boiling Springs Rd
Boiling Springs, SC 29316-5304
Phone (864) 599-0731

Other practice location 4

1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 989-4609

Other practice location 5

905 Verdae Blvd Ste 101
Greenville, SC 29607-4029
Phone (864) 286-7550

Other practice location 6

11402 Anderson Rd Ste A
Greenville, SC 29611-7560
Phone (864) 631-2799

Other practice location 7

300 Scuffletown Rd
Simpsonville, SC 29681-7204
Phone (864) 329-0029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171229001605 SC Practitioner - Physician Assistant 6608134358 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jul 1, 2019 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 30, 2017 Accepting new patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Oct 30, 2017 Accepting new patients
Emergency Physician Services Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

11402 Anderson Rd
Ste A
Greenville, SC 29611
Phone (864) 631-2799

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

300 Scuffletown Rd
Simpsonville, SC 29681
Phone (864) 329-0029

2400 Boiling Springs Rd
Spartanburg, SC 29316
Phone (864) 599-0731

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1780197061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-455-7899",
            "fax_number": "864-455-5474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258908",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2555 Boiling Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "SC",
            "postal_code": "293166624",
            "country_code": "US",
            "telephone_number": "864-305-3000",
            "fax_number": "864-840-8207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Boiling Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "SC",
            "postal_code": "293165304",
            "country_code": "US",
            "telephone_number": "864-599-0731",
            "fax_number": "864-599-0791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 S Suber Rd",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296500944",
            "country_code": "US",
            "telephone_number": "864-989-4609",
            "fax_number": "864-989-4608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Verdae Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074029",
            "country_code": "US",
            "telephone_number": "864-286-7550",
            "fax_number": "864-286-7551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11402 Anderson Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296117560",
            "country_code": "US",
            "telephone_number": "864-631-2799",
            "fax_number": "864-522-1215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Scuffletown Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296817204",
            "country_code": "US",
            "telephone_number": "864-329-0029",
            "fax_number": "864-329-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "ERIC",
        "middle_name": "REAGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.