Active NPI
Dr. Bundy and Associates, LLC
- Pediatrics Physician
- New Albany, IN
National Provider Identifier
1992962393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01037496A
- Legal business name
- DR. BUNDY AND ASSOCIATES, LLC
- Practice address
- 1919 State St
Suite 362
New Albany, IN 47150-4929 - Phone
- (812) 944-5888
- Fax
- (812) 944-6111
- NPI assigned
- May 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary L Bundy, MD
- Title
- Doctor
- Phone
- (812) 944-5888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01037496A | IN | Primary |
Addresses
Primary practice location
1919 State St
Suite 362
New Albany, IN 47150-4929
Mailing address
1919 State St
Suite 362
New Albany, IN 47150-4929
Phone (812) 944-5888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100116430A | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1992962393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 STATE ST",
"address_2": "SUITE 362",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504929",
"telephone_number": "812-944-5888",
"fax_number": "812-944-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 STATE ST",
"address_2": "SUITE 362",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504929",
"telephone_number": "812-944-5888",
"fax_number": "812-944-6111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. BUNDY AND ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "BUNDY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "812-944-5888",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "IN",
"license": "01037496A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100116430A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.