WILLIAM L BUNTAIN MD NPI 1700902608

NPI Information

  • NPI: 1700902608
  • Provider Name: WILLIAM L BUNTAIN, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • Address: 2350 N ROCKTON AVE
    ROCKFORD, IL
    ZIP 61103
  • Phone: (815) 971-7255

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NPI Details

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 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
1208600000XSurgery20030056NEW MEXICONo
2208600000XSurgery036131963ILLINOISNo
32086S0120XSurgeryPediatric Surgery04-23862KANSASYes

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
1341309802MEDICARE ID-TYPE UNSPECIFIED
2F400249213MEDICARE PINILLINOIS
3D93113MEDICARE UPIN
435326751MEDICAIDNEW 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: 11/21/2025

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