Active NPI
Jacob Kenneth Buccini, AU.D.
- Audiologist
- Fort Bliss, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 14227
- Practice address
- 18511 Highlander Medics St
Fort Bliss, TX 79906-5327 - Phone
- (915) 742-7777
- NPI assigned
- Apr 3, 2020
- Last updated
- Sep 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 14227 | NC | Primary |
Addresses
Primary practice location
18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Mailing address
1480 Town Creek Rd
Eden, NC 27288-8054
Phone (336) 280-5258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Kildaire Park Dr
Suite 308
Cary, NC 27518-8144
Phone (984) 974-2141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14227 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Physician Services, Inc. | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Current | Accepting new patients | |
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| University of North Carolina Hospitals at Chapel Hill | Audiologist | Current | Accepting new patients |
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| Moses Cone Physician Services Inc | Current | Accepting new patients | |
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| University of North Carolina Hospitals at Chapel Hill | Past | Accepting new patients |
Locations
115 Kildaire Park Dr
Ste 308
Cary, NC 27518
Phone (919) 784-7460
100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
2226 Nelson Hwy
Ste 102
Chapel Hill, NC 27517
Phone (984) 974-2113
301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200
3824 N Elm St
Ste 201
Greensboro, NC 27455
Phone (336) 542-2015
5221 Paramount Pkwy
Ste 440
Morrisville, NC 27560
Phone (984) 974-1183
621 S Main St
Ste 205
Reidsville, NC 27320
Phone (336) 342-6880
Organizations & group practices 8
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.
-
dba UNC Interventional Cardiology Services
- Interventional Cardiology Physician
- Chapel Hill, NC
- NPI 1568070308
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
-
dba Triad Hospitalists
- Hospitalist Physician
- Greensboro, NC
- NPI 1326363383
-
dba CHMG Rheumatology
- Rheumatology Physician
- Greensboro, NC
- NPI 1104458454
-
dba UNC Hospitals Specialty Pharmacy
- Community/Retail Pharmacy
- Morrisville, NC
- NPI 1134928542
-
dba UNC Audiology Services
- Audiologist
- Cary, NC
- NPI 1184400954
-
dba UNC Therapy Services
- Physical Therapist
- Chapel Hill, NC
- NPI 1245633387
-
dba UNC Hospitals Alcohol Substance Abuse
- Pediatric Nutrition Registered Dietitian
- Chapel Hill, NC
- NPI 1861415804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1821627795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 TOWN CREEK RD",
"city": "EDEN",
"state": "NC",
"postal_code": "272888054",
"telephone_number": "336-280-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18511 HIGHLANDER MEDICS ST",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "799065327",
"telephone_number": "915-742-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCCINI",
"first_name": "JACOB",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-03",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "14227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bliss, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.