WILLIAM L BUNTAIN MD NPI 1700902608

NPI Information

NPI: 1700902608
Provider Name: WILLIAM L BUNTAIN, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
2350 N ROCKTON AVE
ROCKFORD, IL
ZIP 61103
Phone: (815) 971-7255
Get Directions

William L Buntain, MD is a pediatric surgery surgery in Rockford, IL. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. William L Buntain, MD NPI is 1700902608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2350 N ROCKTON AVE
ROCKFORD, IL
ZIP 61103-600
Phone: (815) 971-7255
Fax: (815) 971-9955

The NPI 1700902608 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 enumeration date for this NPI number is 3/22/2007 and was last updated on 11/22/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		20030056	NEW MEXICO	No
2	208600000X	Surgery		036131963	ILLINOIS	No
3	2086S0120X	Surgery	Pediatric Surgery	04-23862	KANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	341309802	MEDICARE ID-TYPE UNSPECIFIED
2	F400249213	MEDICARE PIN	ILLINOIS
3	D93113	MEDICARE UPIN
4	35326751	MEDICAID	NEW MEXICO

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: 11/14/2023

NPI Synchronization or Removal

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