Healthcare Provider Details

I. General information

NPI: 1518039239
Provider Name (Legal Business Name): MATTHEW C BUNTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4820 S ARROWHEAD DR STE C
INDEPENDENCE MO
64055-6928
US

IV. Provider business mailing address

13725 METCALF AVE # 342
OVERLAND PARK KS
66223-7899
US

V. Phone/Fax

Practice location:
  • Phone: 816-710-4222
  • Fax: 816-790-4222
Mailing address:
  • Phone: 816-710-4222
  • Fax: 816-790-4222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number04-37371
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number2014017700
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: