Organization Active NPI

Dr. Bundy and Associates, LLC

  • Pediatrics Physician
  • New Albany, IN
National Provider Identifier
1992962393
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01037496A Issued in IN
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

Updated by the provider on May 22, 2008

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100116430AMedicaidIN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.