Active NPI
Jason Gregory Bunk, D.C., ARNP
- Chiropractor
- Stuart, FL
National Provider Identifier
1871644351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8783
- 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, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041105000298 | FL | Practitioner - Chiropractic | 9133182736 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9322762 | FL | MD | Family 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.