JOEL T BUNDY MD NPI 1932105517

NPI Information

NPI: 1932105517
Provider Name: JOEL T BUNDY, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
745 BATTLEFIELD BLVD N
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 623-0005
Get Directions

Joel T Bundy, MD is a nephrology internal medicine in Chesapeake, VA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Joel T Bundy, MD NPI is 1932105517. 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:

745 BATTLEFIELD BLVD N
CHESAPEAKE, VA
ZIP 23320-305
Phone: (757) 623-0005
Fax: (757) 410-7349

The enumeration date for this NPI number is 6/28/2005 and was last updated on 4/16/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		9901131	NORTH CAROLINA	No
2	207R00000X	Internal Medicine		010149860	VIRGINIA	No
3	207RN0300X	Internal Medicine	Nephrology	0101049860	VIRGINIA	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	Other Provider Identifier Issuer
1	541371648	OTHER	VIRGINIA	TAXID #
2	006098100	MEDICAID	VIRGINIA
3	F69807	MEDICARE UPIN
4	2023717	OTHER	NORTH CAROLINA	MEDICARE
5	390000140	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA

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

NPI Synchronization or Removal

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