Individual provider Active NPI

James Bunker, MD

  • Obstetrics & Gynecology Physician
  • Brattleboro, VT
National Provider Identifier
1780692020
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
042-0009872 Issued in VT
Practice address
21 Belmont Ave
Brattleboro, VT 05301-7110
Phone
(802) 251-9965
Fax
(802) 251-9972
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 042-0009872 VT Primary

Addresses

Primary practice location

21 Belmont Ave
Brattleboro, VT 05301-7110

Mailing address

21 Belmont Ave
Brattleboro, VT 05301-7110
Phone (802) 251-9965

Other identifiers 3

IdentifierTypeStateIssuer
30200996MedicaidNH
48459OtherVTBLUE SHIELD
0VN2121MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000116 VT Practitioner - Obstetrics/Gynecology 6800806902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brattleboro Memorial HospitalGroup PAC ID 9335112929, 70 clinicians

Practice addresses (Care Compare)

17 Belmont Ave
Brattleboro, VT 05301-3498

17 Belmont Ave
Brattleboro, VT 05301-7601

Hospital & facility affiliations

  • Brattleboro Memorial Hospital Hospital, Brattleboro, VT, CCN 470011
  • Cheshire Medical Center Hospital, Keene, NH, CCN 300019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0009872VTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brattleboro Memorial Hospital Obstetrics & Gynecology CurrentSince Nov 11, 2011 Accepting new patients
Southern Vermont Health Services Corp Past Accepting new patients

Locations

17 Belmont Ave
Ofc
Brattleboro, VT 05301

17 Belmont Ave
Ste 2401
Brattleboro, VT 05301
Phone (802) 251-9965

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

28 Belmont Ave
Brattleboro, VT 05301
Phone (802) 241-9965

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1780692020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053017110",
            "telephone_number": "802-251-9965",
            "fax_number": "802-251-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053017110",
            "telephone_number": "802-251-9965",
            "fax_number": "802-251-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNKER",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VT",
            "license": "042-0009872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200996",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "48459",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN2121",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.