Individual provider Active NPI

Jason Gregory Bunk, D.C., ARNP

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1871644351
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8783 Issued in FL
Practice address
1989 SE Federal Hwy
Suite 201
Stuart, FL 34994-3949
Phone
(772) 781-1816
Fax
(772) 781-1876
NPI assigned
Jan 13, 2007
Last updated
Jan 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9322762 FL
Chiropractor 111N00000X CH8783 FL Primary

Addresses

Primary practice location

1989 SE Federal Hwy
Suite 201
Stuart, FL 34994-3949

Mailing address

1989 SE Federal Hwy
Suite 201
Stuart, FL 34994-3949
Phone (772) 781-1816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000298 FL Practitioner - Chiropractic 9133182736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9322762FLMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1871644351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 SE FEDERAL HWY",
            "address_2": "SUITE 201",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943949",
            "telephone_number": "772-781-1816",
            "fax_number": "772-781-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 SE FEDERAL HWY",
            "address_2": "SUITE 201",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943949",
            "telephone_number": "772-781-1816",
            "fax_number": "772-781-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNK",
        "first_name": "JASON",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.C., ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9322762",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.