BMC Norfolk

Primary specialty

Military and U.S. Coast Guard Ambulatory Procedure Clinic/CenterTaxonomy code 261QM1101X

Legal business name

BMC NORFOLK

Practice address

Branch Medical Clinic
1721 Taussig Blvd
Norfolk, VA 23511

Phone

(757) 953-8739

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Lynn A Gunkle, IDC

Title

Independent Duty Corpsman

Phone

(757) 953-8739

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1801824958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 7TH BAY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181231",
            "telephone_number": "757-953-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRANCH MEDICAL CLINIC",
            "address_2": "1721 TAUSSIG BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23511",
            "telephone_number": "757-953-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMC NORFOLK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "GUNKLE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INDEPENDENT DUTY CORPSMAN",
        "authorized_official_telephone_number": "757-953-8739",
        "authorized_official_credential": "IDC"
    },
    "taxonomies": [
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT DUTY CORPSMAN",
            "identifier": "1710I1002X",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluestone Physician Services Southeast LLC
• Brandy R Bluitt, LCSW
• Meira Blum
• Cayleigh Blumrick, MD
• Ellen Grace Blythe, M.S., CF-SLP
• BMR-1 VA, LLC
• Kristina Boarts, DPT, CERT MDT
• Silvina M. Bocca, MD
• David Scott Bockelman, IDC
• Daniel Boczar Lins Santana, MD

• Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.