BUNGE SPINE & PERFORMANCE LLC NPI 1467981282

NPI Information

  • NPI: 1467981282
  • Provider Name: BUNGE SPINE & PERFORMANCE, LLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 5055 HIGHWAY N STE 108
    COTTLEVILLE, MO
    ZIP 63304
  • Phone: (417) 773-0516

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NPI Details

BUNGE SPINE & PERFORMANCE, LLC is a health service clinic center in Cottleville, MO. BUNGE SPINE & PERFORMANCE, LLC NPI is 1467981282. The provider is registered as an organization entity type.

The provider's business location address is:

5055 HIGHWAY N STE 108
COTTLEVILLE, MO
ZIP 63304-031
Phone: (417) 773-0516
Fax: (636) 685-0422

The provider's authorized official is William Bunge .
The authorized official title is Owner and has the following contact phone number (417) 773-0516.

The enumeration date for this NPI number is 6/6/2017 and was last updated on 6/12/2017.

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
1261QH0100XClinic/CenterHealth Service2016044967MISSOURIYes

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
12016044967OTHERMISSOURISTATE LICENSE NUMBER

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: 3/30/2025

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