Eric Reagan Bunch, PA-C

Key facts

NPI

1780197061

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

2848 (SC)

Practice address

701 Grove Rd
Greenville, SC 29605

Phone

(864) 455-7899

Fax

(864) 455-5474

NPI assigned

Nov 9, 2017

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Prisma Health University Medical Group Family Medicine Physician · Greenville, SC · NPI 1295763217
  Medicare reassignment SC
• University Medical Associates of the Medical University of South Carol Multi-Specialty Clinic/Center · Charleston, SC · NPI 1043241110
  Medicare reassignment SC
• Prisma Health University Medical Group Gynecology Physician · Greer, SC · NPI 1003619313
  NPD
• University Medical Associates of the Medical University of South Carol Anesthesiology Physician · Charleston, SC · NPI 1104843713
  NPD
• University Medical Associates of the Medical University of South Carol Family Medicine Physician · Charleston, SC · NPI 1982678496
  NPD PHYSICIAN ASSISTANT
• Emergency Physician Services Radiology Clinic/Center · Greenville, SC · NPI 1720471618
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2019.

{
    "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": []
}

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All providers in Greenville, SC · Physician Assistant in South Carolina