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JULIE SUZANNE BUNNER MD NPI 1013913011


NPI Information

NPI: 1013913011
Provider Name: JULIE SUZANNE BUNNER, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

CLIA Number: 51D2213825

Address:
58 16TH ST
WHEELING, WV
ZIP 26003
Phone: (304) 243-6410
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Julie Suzanne Bunner, MD is an endocrinology and diabetes and metabolism internal medicine in Wheeling, WV with 27 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Julie Suzanne Bunner, MD NPI is 1013913011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

58 16TH ST
WHEELING, WV
ZIP 26003-660
Phone: (304) 243-6410
Fax: (304) 243-6411

The NPI 1013913011 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 51D2213825 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2005 and was last updated on 10/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism19765WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12325353MEDICAIDOHIO
2001718176OTHERMOUNTAIN STATE BCBS
31812151000MEDICAIDWEST VIRGINIA
455035705701OTHERWEST VIRGINIAWV COMPENSATION
5460003529MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE
619765OTHERHEALTH PLAN OF UPPER OH V
77299201MEDICARE ID-TYPE UNSPECIFIED
8H57848MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.