Provider Type Icon

ELLEN F BUNCH MD PLLC NPI 1023750684


NPI Information

NPI: 1023750684
Provider Name: ELLEN F BUNCH MD PLLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
1456 W GURLEY ST
PRESCOTT, AZ
ZIP 86305
Phone: (928) 777-8880
Get Directions

ELLEN F BUNCH MD PLLC is an adult medicine family medicine in Prescott, AZ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. ELLEN F BUNCH MD PLLC NPI is 1023750684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1456 W GURLEY ST
PRESCOTT, AZ
ZIP 86305-828
Phone: (928) 777-8880
Fax: (928) 777-8884

The provider's authorized official is Kenneth L Bunch .
The authorized official title is Practice Manager and has the following contact phone number (928) 777-8880.

The enumeration date for this NPI number is 4/12/2022 and was last updated on 5/1/2023.


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
1207QA0505XFamily MedicineAdult MedicineYes

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.