Organization Active NPI

Stephen R Bunker MD PA

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1992088819
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G0961 Issued in TX
Legal business name
STEPHEN R BUNKER MD PA
Practice address
2712 Bee Cave Rd
Suite 122
Austin, TX 78746-5676
Phone
(830) 693-8034
Fax
(719) 314-2908
NPI assigned
Sep 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Dr. Stephen R Bunker, MD
Title
Medical Director
Phone
(830) 693-8034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X G0961 TX Primary

Addresses

Primary practice location

2712 Bee Cave Rd
Suite 122
Austin, TX 78746-5676

Mailing address

601 Twisted Oaks
Horseshoe Bay, TX 78657-6117
Phone (830) 693-8034

Other names 1

  • Austin Imaging and Vein Center Doing business as

National Provider Directory

National Provider Directory

Locations

7200 Wyoming Springs Dr
Ste 1550
Round Rock, TX 78681
Phone (512) 726-0599

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1992088819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TWISTED OAKS",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "786576117",
            "telephone_number": "830-693-8034",
            "fax_number": "719-314-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 BEE CAVE RD",
            "address_2": "SUITE 122",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465676",
            "telephone_number": "830-693-8034",
            "fax_number": "719-314-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R BUNKER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "BUNKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "830-693-8034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G0961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Imaging and Vein Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.