DR. BRUCE WILLARD BUNNELL MD NPI 1205827821

NPI Information

  • NPI: 1205827821
  • Provider Name: DR. BRUCE WILLARD BUNNELL, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: ONE BROOKLINE PLACE
    SUITE 327 CENTRE PEDIATRIC ASSOCIATES PC
    BROOKLINE, MA
    ZIP 02445
  • Phone: (617) 735-8585

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NPI Details

DR. Bruce Willard Bunnell, MD is a pediatrics in Brookline, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Bruce Willard Bunnell, MD NPI is 1205827821. 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:

ONE BROOKLINE PLACE
SUITE 327 CENTRE PEDIATRIC ASSOCIATES PC
BROOKLINE, MA
ZIP 02445-294
Phone: (617) 735-8585
Fax: (617) 232-0572

The enumeration date for this NPI number is 11/2/2005 and was last updated on 7/8/2007.

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
1208000000XPediatrics72358MASSACHUSETTSYes

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
1J10347MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
2J10347OTHERBCBS
33083284MEDICAIDMASSACHUSETTS
4072358OTHERTUFTS
5E61466MEDICARE 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: 11/21/2025

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