Active NPI
Kenneth R. Bunning, DO
- Urology Physician
- Morehead City, NC
National Provider Identifier
1982807392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- OS9814
- Practice address
- 3714 Guardian Ave
Suite E
Morehead City, NC 28557-2974 - Phone
- (252) 247-2101
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | OS9814 | FL | Primary |
| Urology Physician | 208800000X | 2011-01863 | NC |
Addresses
Primary practice location
3714 Guardian Ave
Suite E
Morehead City, NC 28557-2974
Mailing address
3714 Guardian Ave
Morehead City, NC 28557-2974
Phone (222) 247-2101
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94655 | Other | FL | BCBS |
| 279031900 | Medicaid | FL | |
| 117472 | Other | FL | OPERATING ENGINEERS |
| 344465 | Other | FL | AVMED |
| P00468955 | Other | FL | RAILROAD MEDICARE |
| 7137932 | Other | FL | AETNA PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-01863 | NC | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1982807392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3714 GUARDIAN AVE",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285572974",
"telephone_number": "222-247-2101",
"fax_number": "252-247-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3714 GUARDIAN AVE",
"address_2": "SUITE E",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285572974",
"telephone_number": "252-247-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNNING",
"first_name": "KENNETH",
"middle_name": "R.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "OS9814",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "2011-01863",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "94655",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279031900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPERATING ENGINEERS",
"identifier": "117472",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "344465",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00468955",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "7137932",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.