MEDICARE: DR. ROSS EDWARD BUNCH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	19040	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598728925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSS EDWARD BUNCH MD

Provider Business Mailing Address
First Line	:	1847 COMMONS NORTH DR
Second Line	:	SUITE A
City	:	TUSCALOOSA
State	:	AL
Zip	:	35406-3700
Country	:	US
Telephone Number	:	205-349-0049
Fax Number	:	205-345-1684

Provider Business Practice Location Address
First Line	:	1847 COMMONS NORTH DR
Second Line	:	SUITE A
City	:	TUSCALOOSA
State	:	AL
Zip	:	35406-3700
Country	:	US
Telephone Number	:	205-349-0049
Fax Number	:	205-345-1684

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	07/31/2024

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